Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.19 / $720.46 / $3,725.29	Professional		$637.19	$720.46	$3,725.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.42 / $1,104.66 / $2,196.76	Professional		$860.42	$1,104.66	$2,196.76
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 $462.79 / $717.18 / $1,750.54	Professional		$462.79	$717.18	$1,750.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.16 / $894.37 / $2,551.79	Professional		$651.16	$894.37	$2,551.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $798.93 / $958.72	Professional		$608.04	$798.93	$958.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.78 / $918.77 / $1,629.74	Professional		$717.78	$918.77	$1,629.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,629.31 / $5,868.94	Facility		$55.00	$4,629.31	$5,868.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,148.88 / $5,311.04 / $6,033.38	Professional		$5,148.88	$5,311.04	$6,033.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.67 / $916.66 / $1,259.91	Facility		$726.67	$916.66	$1,259.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $663.48 / $917.27 / $2,003.87	Professional		$663.48	$917.27	$2,003.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,311.46 / $2,311.46 / $2,311.46	Professional		$2,311.46	$2,311.46	$2,311.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $851.26 / $1,033.67	Professional		$608.04	$851.26	$1,033.67
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 $576.16 / $823.19 / $2,269.12	Professional		$576.16	$823.19	$2,269.12