Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.26 / $9,639.00 / $20,509.00	Facility		$651.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.04 / $644.32 / $3,476.49	Professional		$577.04	$644.32	$3,476.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.59 / $1,008.67 / $1,939.37	Professional		$769.59	$1,008.67	$1,939.37
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 $453.76 / $703.01 / $1,716.38	Professional		$453.76	$703.01	$1,716.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.28 / $826.94 / $2,297.67	Professional		$617.28	$826.94	$2,297.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $644.52 / $762.77 / $966.78	Professional		$644.52	$762.77	$966.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.21 / $874.70 / $1,539.47	Professional		$673.21	$874.70	$1,539.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,690.42 / $4,685.16	Facility		$55.00	$3,690.42	$4,685.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,443.68 / $5,443.68 / $5,587.73	Professional		$5,443.68	$5,443.68	$5,587.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $688.72 / $873.13 / $1,282.82	Facility		$688.72	$873.13	$1,282.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $617.28 / $860.87 / $1,850.03	Professional		$617.28	$860.87	$1,850.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,157.08 / $2,157.08 / $2,157.08	Professional		$2,157.08	$2,157.08	$2,157.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $644.52 / $846.88 / $1,095.69	Professional		$644.52	$846.88	$1,095.69
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,218.00 / $16,173.00	Facility		$3,867.00	$7,218.00	$16,173.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.00 / $721.99 / $2,060.21	Professional		$513.00	$721.99	$2,060.21