Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.97 / $9,639.00 / $20,509.00	Facility		$659.97	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.41 / $629.28 / $3,071.51	Professional		$554.41	$629.28	$3,071.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.46 / $923.91 / $1,725.43	Professional		$667.46	$923.91	$1,725.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,647.77	Facility		$66.00	$100.00	$5,647.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $394.88 / $610.01 / $1,493.65	Professional		$394.88	$610.01	$1,493.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.32 / $759.92 / $2,308.16	Professional		$558.32	$759.92	$2,308.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $663.64 / $730.00 / $895.91	Professional		$663.64	$730.00	$895.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.29 / $763.19 / $1,345.26	Professional		$589.29	$763.19	$1,345.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,776.99 / $4,784.22	Facility		$55.00	$3,776.99	$4,784.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,060.00 / $11,060.00 / $11,060.00	Professional		$11,060.00	$11,060.00	$11,060.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $611.48 / $801.12 / $1,282.65	Facility		$611.48	$801.12	$1,282.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $576.51 / $764.10 / $1,660.69	Professional		$576.51	$764.10	$1,660.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,905.81 / $1,905.81 / $1,905.81	Professional		$1,905.81	$1,905.81	$1,905.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $602.87 / $845.10 / $1,267.65	Professional		$602.87	$845.10	$1,267.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,451.00	Facility		$5,284.00	$12,267.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.05 / $722.41 / $1,961.66	Professional		$485.05	$722.41	$1,961.66