Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,319.00 / $17,902.00	Facility		$2,020.00	$6,319.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.21 / $436.41 / $2,020.00	Professional		$396.21	$436.41	$2,020.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $7,070.00 / $14,103.00	Facility		$3,222.00	$7,070.00	$14,103.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.16 / $675.21 / $1,298.20	Professional		$515.16	$675.21	$1,298.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $7,121.41	Facility		$64.20	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $319.14 / $495.72 / $1,207.18	Professional		$319.14	$495.72	$1,207.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.76 / $561.59 / $1,580.36	Professional		$416.76	$561.59	$1,580.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $510.72 / $612.86	Professional		$316.45	$510.72	$612.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.65 / $588.00 / $1,049.44	Professional		$459.65	$588.00	$1,049.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,169.19 / $4,777.50	Facility		$55.00	$2,169.19	$4,777.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,255.36 / $3,366.24 / $4,043.78	Professional		$3,255.36	$3,366.24	$4,043.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.25 / $588.00 / $817.21	Facility		$466.25	$588.00	$817.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $592.28 / $1,277.49	Professional		$420.00	$592.28	$1,277.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,443.63 / $1,443.63 / $1,443.63	Professional		$1,443.63	$1,443.63	$1,443.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $316.45 / $463.04 / $565.94	Professional		$316.45	$463.04	$565.94
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 $375.02 / $524.79 / $1,503.68	Professional		$375.02	$524.79	$1,503.68