Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.95 / $9,639.00 / $20,509.00	Facility		$375.95	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.13 / $375.95 / $2,116.55	Professional		$328.13	$375.95	$2,116.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,239.00 / $18,725.00	Facility		$3,518.00	$8,239.00	$18,725.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.14 / $601.13 / $1,152.44	Professional		$445.14	$601.13	$1,152.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $15,638.77	Facility		$64.20	$100.00	$15,638.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.74 / $380.93 / $940.98	Professional		$245.74	$380.93	$940.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $497.18 / $1,427.30	Professional		$365.06	$497.18	$1,427.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $297.94 / $459.86 / $551.83	Professional		$297.94	$459.86	$551.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.87 / $529.50 / $945.19	Professional		$413.87	$529.50	$945.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,563.56 / $4,217.50	Facility		$55.00	$1,563.56	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,074.35 / $3,074.35 / $3,643.88	Professional		$3,074.35	$3,074.35	$3,643.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $409.18 / $546.40 / $1,018.03	Facility		$409.18	$546.40	$1,018.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $516.60 / $1,161.61	Professional		$365.06	$516.60	$1,161.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,313.28 / $1,313.28 / $1,313.28	Professional		$1,313.28	$1,313.28	$1,313.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $297.94 / $417.12 / $509.58	Professional		$297.94	$417.12	$509.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.04 / $485.78 / $1,292.49	Professional		$334.04	$485.78	$1,292.49