Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,982.14 / $6,229.00 / $17,380.00	Facility		$1,982.14	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.14 / $360.65 / $1,982.14	Professional		$316.14	$360.65	$1,982.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,178.00 / $11,736.24	Facility		$2,143.00	$5,178.00	$11,736.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.12 / $574.20 / $1,118.44	Professional		$437.12	$574.20	$1,118.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $8,011.98	Facility		$64.20	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $447.43 / $1,090.70	Professional		$288.77	$447.43	$1,090.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.97 / $476.02 / $1,412.85	Professional		$351.97	$476.02	$1,412.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.06 / $426.33 / $511.60	Professional		$328.06	$426.33	$511.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.70 / $492.43 / $882.75	Professional		$383.70	$492.43	$882.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,842.25 / $2,277.60	Facility		$55.00	$1,842.25	$2,277.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.72 / $2,834.88 / $3,435.53	Professional		$2,754.72	$2,834.88	$3,435.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $395.37 / $502.37 / $777.07	Facility		$395.37	$502.37	$777.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.22 / $490.68 / $1,049.06	Professional		$355.22	$490.68	$1,049.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,229.88 / $1,229.88 / $1,229.88	Professional		$1,229.88	$1,229.88	$1,229.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $328.06 / $459.28 / $557.70	Professional		$328.06	$459.28	$557.70
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 $314.44 / $455.54 / $1,420.11	Professional		$314.44	$455.54	$1,420.11