Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.75 / $659.59 / $3,068.97	Professional		$556.75	$659.59	$3,068.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.34 / $950.81 / $1,819.06	Professional		$666.34	$950.81	$1,819.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,981.41	Facility		$66.00	$100.00	$5,981.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $430.75 / $665.58 / $1,620.61	Professional		$430.75	$665.58	$1,620.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.22 / $766.30 / $2,312.02	Professional		$581.22	$766.30	$2,312.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $497.39 / $659.18 / $791.02	Professional		$497.39	$659.18	$791.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.54 / $758.06 / $1,339.47	Professional		$587.54	$758.06	$1,339.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,771.53 / $10,899.50	Facility		$55.00	$3,771.53	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,164.00 / $5,164.00 / $5,164.00	Professional		$5,164.00	$5,164.00	$5,164.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.52 / $810.55 / $1,290.86	Facility		$623.52	$810.55	$1,290.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.67 / $776.95 / $1,660.09	Professional		$596.67	$776.95	$1,660.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,904.25 / $1,904.25 / $1,904.25	Professional		$1,904.25	$1,904.25	$1,904.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $497.39 / $731.85 / $940.88	Professional		$497.39	$731.85	$940.88
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.05 / $718.59 / $1,958.36	Professional		$485.05	$718.59	$1,958.36