Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.43 / $545.70 / $2,759.37	Professional		$485.43	$545.70	$2,759.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $4,785.00 / $9,589.00	Facility		$2,143.00	$4,785.00	$9,589.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.90 / $774.76 / $1,485.27	Professional		$579.90	$774.76	$1,485.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,509.60	Facility		$64.20	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.65 / $535.26 / $1,307.43	Professional		$345.65	$535.26	$1,307.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.20 / $699.02 / $2,005.83	Professional		$504.20	$699.02	$2,005.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $495.16 / $600.17 / $749.33	Professional		$495.16	$600.17	$749.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.80 / $689.48 / $1,230.58	Professional		$530.80	$689.48	$1,230.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,396.12 / $4,311.16	Facility		$55.00	$3,396.12	$4,311.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,837.28 / $3,925.84 / $4,390.88	Professional		$3,837.28	$3,925.84	$4,390.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $543.02 / $702.96 / $966.00	Facility		$543.02	$702.96	$966.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.71 / $699.02 / $1,467.37	Professional		$520.71	$699.02	$1,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,712.14 / $1,712.14 / $1,712.14	Professional		$1,712.14	$1,712.14	$1,712.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $495.16 / $666.44 / $936.65	Professional		$495.16	$666.44	$936.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,699.00 / $7,655.00	Facility		$1,407.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $427.56 / $618.49 / $1,840.56	Professional		$427.56	$618.49	$1,840.56