Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $6,357.00 / $17,538.00	Facility		$2,134.00	$6,357.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $350.60 / $399.45 / $2,138.91	Professional		$350.60	$399.45	$2,138.91
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 $475.61 / $617.38 / $1,186.69	Professional		$475.61	$617.38	$1,186.69
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 $303.70 / $471.65 / $1,148.80	Professional		$303.70	$471.65	$1,148.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $513.66 / $1,454.52	Professional		$383.00	$513.66	$1,454.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.06 / $476.14 / $571.37	Professional		$328.06	$476.14	$571.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.67 / $547.55 / $975.13	Professional		$427.67	$547.55	$975.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,007.45 / $4,217.50	Facility		$55.00	$2,007.45	$4,217.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,015.20 / $3,112.72 / $3,743.40	Professional		$3,015.20	$3,112.72	$3,743.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.45 / $546.03 / $828.13	Facility		$433.45	$546.03	$828.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.77 / $549.28 / $1,172.33	Professional		$390.77	$549.28	$1,172.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,327.15 / $1,327.15 / $1,327.15	Professional		$1,327.15	$1,327.15	$1,327.15
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 $343.14 / $479.67 / $1,306.95	Professional		$343.14	$479.67	$1,306.95