Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,000.00 / $21,379.62	Facility		$4,168.69	$10,000.00	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $4,897.79	Professional		$794.33	$1,047.13	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $19,952.62	Facility		$6,918.31	$11,748.98	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,951.21	Professional		$977.24	$1,479.11	$2,951.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,025.60	Facility		$63.10	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,691.53	Professional		$933.25	$1,380.38	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $2,398.83	Professional		$870.96	$1,122.02	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,148.15	Professional		$891.25	$891.25	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,862.09	Professional		$741.31	$977.24	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,585.78 / $7,585.78	Professional		$7,244.36	$7,585.78	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,137.96	Facility		$870.96	$1,148.15	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,398.83	Professional		$851.14	$1,122.02	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $10,000.00 / $20,892.96	Facility		$5,248.07	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $2,570.40	Professional		$741.31	$1,000.00	$2,570.40