Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.92 / $9,639.00 / $20,509.00	Facility		$811.92	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $701.59 / $811.92 / $3,922.65	Professional		$701.59	$811.92	$3,922.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $19,252.00	Facility		$3,028.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.80 / $1,125.55 / $2,153.14	Professional		$843.80	$1,125.55	$2,153.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,714.18	Facility		$66.00	$100.00	$5,714.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $499.85 / $771.01 / $1,890.71	Professional		$499.85	$771.01	$1,890.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $728.89 / $972.76 / $2,930.89	Professional		$728.89	$972.76	$2,930.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $765.66 / $1,003.66	Professional		$505.96	$765.66	$1,003.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.55 / $961.84 / $1,725.01	Professional		$747.55	$961.84	$1,725.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,803.96 / $8,159.60	Facility		$55.00	$4,803.96	$8,159.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,428.40 / $5,552.08 / $6,199.28	Professional		$5,428.40	$5,552.08	$6,199.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.02 / $1,003.66 / $1,369.19	Facility		$767.02	$1,003.66	$1,369.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $737.58 / $972.76 / $2,117.16	Professional		$737.58	$972.76	$2,117.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,433.92 / $2,433.92 / $2,433.92	Professional		$2,433.92	$2,433.92	$2,433.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $759.74 / $957.08	Professional		$505.96	$759.74	$957.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $605.65 / $913.43 / $2,624.68	Professional		$605.65	$913.43	$2,624.68