Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,229.00 / $17,380.00	Facility		$1,919.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.75 / $366.26 / $1,394.00	Professional		$294.75	$366.26	$1,394.00
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 $397.96 / $505.75 / $1,002.87	Professional		$397.96	$505.75	$1,002.87
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 $244.68 / $381.45 / $925.51	Professional		$244.68	$381.45	$925.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.70 / $423.48 / $1,201.36	Professional		$321.70	$423.48	$1,201.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $382.54 / $442.02 / $516.42	Professional		$382.54	$442.02	$516.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.34 / $439.92 / $775.46	Professional		$340.34	$439.92	$775.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,186.03 / $4,217.50	Facility		$55.00	$2,186.03	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.88 / $2,806.88 / $2,852.03	Professional		$2,806.88	$2,806.88	$2,852.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.34 / $436.74 / $668.88	Facility		$340.34	$436.74	$668.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $324.49 / $436.78 / $939.62	Professional		$324.49	$436.78	$939.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,088.04 / $1,088.04 / $1,088.04	Professional		$1,088.04	$1,088.04	$1,088.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $343.82 / $424.56 / $751.43	Professional		$343.82	$424.56	$751.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $376.34 / $1,070.56	Professional		$270.20	$376.34	$1,070.56