Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.15 / $814.10 / $4,290.82	Professional		$723.15	$814.10	$4,290.82
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 $983.16 / $1,288.59 / $2,477.56	Professional		$983.16	$1,288.59	$2,477.56
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 $604.72 / $935.16 / $2,275.36	Professional		$604.72	$935.16	$2,275.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.93 / $1,028.35 / $2,976.03	Professional		$781.93	$1,028.35	$2,976.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $910.71 / $1,001.78 / $1,183.92	Professional		$910.71	$1,001.78	$1,183.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.64 / $1,047.83 / $1,863.62	Professional		$819.64	$1,047.83	$1,863.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,313.07 / $6,729.38	Facility		$55.00	$5,313.07	$6,729.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,017.19 / $7,017.19 / $7,017.19	Professional		$7,017.19	$7,017.19	$7,017.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.08 / $1,076.14 / $1,660.21	Facility		$831.08	$1,076.14	$1,660.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $781.93 / $1,048.55 / $2,311.56	Professional		$781.93	$1,048.55	$2,311.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,662.38 / $2,662.38 / $2,662.38	Professional		$2,662.38	$2,662.38	$2,662.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.10 / $984.52 / $2,542.96	Professional		$659.10	$984.52	$2,542.96