Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.41 / $9,639.00 / $20,509.00	Facility		$476.41	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.52 / $476.41 / $1,856.66	Professional		$435.52	$476.41	$1,856.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,061.40 / $16,676.00	Facility		$3,640.00	$8,061.40	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.47 / $822.88 / $1,522.22	Professional		$594.47	$822.88	$1,522.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $378.11 / $583.97 / $1,427.20	Professional		$378.11	$583.97	$1,427.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.41 / $608.46 / $1,755.34	Professional		$473.41	$608.46	$1,755.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $239.09 / $488.49 / $586.19	Professional		$239.09	$488.49	$586.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $588.53 / $1,039.24	Professional		$452.38	$588.53	$1,039.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,927.22 / $6,047.14	Facility		$55.00	$4,927.22	$6,047.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,317.36 / $3,417.68 / $4,175.03	Professional		$3,317.36	$3,417.68	$4,175.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.41 / $609.20 / $830.78	Facility		$476.41	$609.20	$830.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.38 / $608.51 / $1,317.94	Professional		$472.38	$608.51	$1,317.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,521.72 / $1,521.72 / $1,521.72	Professional		$1,521.72	$1,521.72	$1,521.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $239.09 / $406.45 / $540.54	Professional		$239.09	$406.45	$540.54
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 $398.71 / $594.15 / $1,575.64	Professional		$398.71	$594.15	$1,575.64