Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.44 / $759.21 / $4,881.55	Facility		$536.44	$759.21	$4,881.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.35 / $1,129.52 / $3,761.26	Professional		$553.35	$1,129.52	$3,761.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.97 / $826.96 / $2,177.92	Facility		$683.97	$826.96	$2,177.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $727.40 / $1,072.57 / $2,218.13	Professional		$727.40	$1,072.57	$2,218.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,238.60	Facility		$64.20	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $764.51 / $1,800.60	Professional		$535.16	$764.51	$1,800.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.99 / $957.62 / $2,335.44	Professional		$639.99	$957.62	$2,335.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.28 / $1,106.03 / $1,376.40	Professional		$819.28	$1,106.03	$1,376.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.98 / $1,110.35 / $1,862.30	Professional		$782.98	$1,110.35	$1,862.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,619.51 / $3,745.00	Facility		$55.00	$3,619.51	$3,745.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,544.32 / $7,247.84 / $8,904.68	Professional		$5,544.32	$7,247.84	$8,904.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.50 / $981.28 / $1,480.68	Facility		$610.50	$981.28	$1,480.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $643.63 / $1,017.04 / $2,357.17	Professional		$643.63	$1,017.04	$2,357.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,980.94 / $1,980.94 / $2,684.20	Professional		$1,980.94	$1,980.94	$2,684.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $742.09 / $906.99 / $1,271.56	Professional		$742.09	$906.99	$1,271.56
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 $673.69 / $999.14 / $2,754.82	Professional		$673.69	$999.14	$2,754.82