Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,830.00 / $18,681.00	Facility		$2,197.85	$7,830.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.85 / $544.91 / $2,874.56	Professional		$483.85	$544.91	$2,874.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.73 / $9,729.07 / $20,083.16	Facility		$4,019.73	$9,729.07	$20,083.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.69 / $880.37 / $1,692.67	Professional		$671.69	$880.37	$1,692.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $359.63 / $556.38 / $1,360.31	Professional		$359.63	$556.38	$1,360.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.03 / $690.06 / $2,066.61	Professional		$520.03	$690.06	$2,066.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $431.71 / $641.09 / $769.31	Professional		$431.71	$641.09	$769.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.53 / $732.59 / $1,291.00	Professional		$563.53	$732.59	$1,291.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,568.75 / $3,273.60	Facility		$2,000.00	$2,568.75	$3,273.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,983.09 / $7,983.09 / $7,983.09	Professional		$7,983.09	$7,983.09	$7,983.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.79 / $717.65 / $1,025.74	Facility		$573.79	$717.65	$1,025.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.03 / $716.26 / $1,526.76	Professional		$520.03	$716.26	$1,526.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,783.61 / $1,783.61 / $1,783.61	Professional		$1,783.61	$1,783.61	$1,783.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $431.71 / $604.39 / $733.90	Professional		$431.71	$604.39	$733.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.36 / $627.19 / $1,915.05	Professional		$423.36	$627.19	$1,915.05