Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $3,801.89	Professional		$630.96	$776.25	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,238.72	Professional		$562.34	$1,071.52	$2,238.72
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 $707.95 / $1,047.13 / $2,041.74	Professional		$707.95	$1,047.13	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,862.09	Professional		$660.69	$870.96	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $912.01	Professional		$691.83	$691.83	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,230.27	Professional		$588.84	$776.25	$1,230.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $5,623.41	Facility		$54.95	$56.23	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $6,025.60	Professional		$5,128.61	$6,025.60	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $1,513.56	Facility		$660.69	$891.25	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,862.09	Professional		$645.65	$870.96	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
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 $562.34 / $776.25 / $1,995.26	Professional		$562.34	$776.25	$1,995.26