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 $622.14 / $715.47 / $3,661.81	Professional		$622.14	$715.47	$3,661.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,260.00 / $17,774.00	Facility		$3,204.00	$9,260.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.91 / $1,064.40 / $2,125.19	Professional		$835.91	$1,064.40	$2,125.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,729.10	Facility		$66.00	$100.00	$11,729.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $513.54 / $793.34 / $1,942.51	Professional		$513.54	$793.34	$1,942.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.94 / $921.54 / $2,533.56	Professional		$665.94	$921.54	$2,533.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $795.89 / $955.07	Professional		$608.04	$795.89	$955.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.30 / $915.27 / $1,625.82	Professional		$716.30	$915.27	$1,625.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,625.74 / $16,298.90	Facility		$55.00	$4,625.74	$16,298.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,184.46 / $5,306.72 / $6,026.63	Professional		$5,184.46	$5,306.72	$6,026.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $706.87 / $917.60 / $1,314.99	Facility		$706.87	$917.60	$1,314.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $665.94 / $932.31 / $2,006.80	Professional		$665.94	$932.31	$2,006.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,312.69 / $2,312.69 / $2,312.69	Professional		$2,312.69	$2,312.69	$2,312.69
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 $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.98 / $815.87 / $2,517.19	Professional		$573.98	$815.87	$2,517.19