Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $5,165.00 / $16,125.00	Facility		$1,036.00	$5,165.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $938.75 / $5,352.65	Professional		$61.96	$938.75	$5,352.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $1,626.93 / $3,621.81	Professional		$96.17	$1,626.93	$3,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,693.95	Facility		$63.50	$100.00	$1,693.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $63.23 / $238.66 / $1,879.10	Professional		$63.23	$238.66	$1,879.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $778.51 / $2,532.11	Professional		$61.34	$778.51	$2,532.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $879.37 / $1,319.06	Professional		$54.40	$879.37	$1,319.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.97 / $774.91 / $1,595.89	Professional		$49.97	$774.91	$1,595.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $243.34 / $1,487.27	Facility		$55.00	$243.34	$1,487.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,087.83 / $5,848.72 / $6,918.23	Professional		$3,087.83	$5,848.72	$6,918.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.27 / $734.87 / $1,458.02	Facility		$58.27	$734.87	$1,458.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.62 / $776.42 / $2,424.15	Professional		$62.62	$776.42	$2,424.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $164.33 / $3,376.48	Professional		$164.33	$164.33	$3,376.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $897.24 / $1,319.06	Professional		$50.11	$897.24	$1,319.06
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,551.00 / $6,920.00	Facility		$548.00	$1,551.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $789.04 / $1,224.80 / $3,441.73	Professional		$789.04	$1,224.80	$3,441.73