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 $638.28 / $714.56 / $2,847.44	Professional		$638.28	$714.56	$2,847.44
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 $771.87 / $1,051.28 / $2,115.29	Professional		$771.87	$1,051.28	$2,115.29
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 $507.37 / $786.78 / $1,919.18	Professional		$507.37	$786.78	$1,919.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.94 / $921.08 / $2,518.46	Professional		$696.94	$921.08	$2,518.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $791.91 / $871.10 / $1,029.48	Professional		$791.91	$871.10	$1,029.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $712.20 / $910.70 / $1,616.47	Professional		$712.20	$910.70	$1,616.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,595.35 / $5,824.70	Facility		$55.00	$4,595.35	$5,824.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,110.08 / $5,271.20 / $5,988.83	Professional		$5,110.08	$5,271.20	$5,988.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.58 / $912.58 / $1,407.08	Facility		$691.58	$912.58	$1,407.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $684.71 / $938.57 / $1,990.24	Professional		$684.71	$938.57	$1,990.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,294.78 / $2,294.78 / $2,294.78	Professional		$2,294.78	$2,294.78	$2,294.78
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 $565.62 / $780.83 / $2,074.01	Professional		$565.62	$780.83	$2,074.01