Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.29 / $9,639.00 / $20,509.00	Facility		$805.29	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.40 / $805.29 / $4,262.68	Professional		$715.40	$805.29	$4,262.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,239.00 / $18,725.00	Facility		$3,518.00	$8,239.00	$18,725.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.52 / $1,272.03 / $2,445.71	Professional		$970.52	$1,272.03	$2,445.71
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 $578.38 / $895.50 / $2,187.77	Professional		$578.38	$895.50	$2,187.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $761.03 / $1,019.23 / $2,895.32	Professional		$761.03	$1,019.23	$2,895.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $905.85 / $996.44 / $1,177.60	Professional		$905.85	$996.44	$1,177.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.27 / $1,042.08 / $1,852.99	Professional		$815.27	$1,042.08	$1,852.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,280.66 / $6,688.78	Facility		$55.00	$5,280.66	$6,688.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,872.24 / $6,055.52 / $6,878.10	Professional		$5,872.24	$6,055.52	$6,878.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.38 / $1,055.19 / $1,501.50	Facility		$826.38	$1,055.19	$1,501.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $761.03 / $1,042.58 / $2,295.98	Professional		$761.03	$1,042.58	$2,295.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,644.91 / $2,644.91 / $2,644.91	Professional		$2,644.91	$2,644.91	$2,644.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.11 / $915.34 / $2,594.02	Professional		$651.11	$915.34	$2,594.02