Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $502.07 / $2,137.26	Professional		$375.95	$502.07	$2,137.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,187.00 / $13,012.00	Facility		$2,456.00	$6,187.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.95 / $664.59 / $1,232.16	Professional		$488.95	$664.59	$1,232.16
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 $306.52 / $475.77 / $1,159.45	Professional		$306.52	$475.77	$1,159.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.48 / $524.78 / $1,504.84	Professional		$394.48	$524.78	$1,504.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $283.61 / $460.45 / $552.54	Professional		$283.61	$460.45	$552.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.41 / $532.39 / $958.31	Professional		$414.41	$532.39	$958.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,992.50 / $2,471.69	Facility		$55.00	$1,992.50	$2,471.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,979.92 / $3,075.36 / $3,714.83	Professional		$2,979.92	$3,075.36	$3,714.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.91 / $542.08 / $784.89	Facility		$425.91	$542.08	$784.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.48 / $537.30 / $1,182.68	Professional		$394.48	$537.30	$1,182.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,339.11 / $1,339.11 / $1,339.11	Professional		$1,339.11	$1,339.11	$1,339.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $283.61 / $419.79 / $510.06	Professional		$283.61	$419.79	$510.06
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 $342.44 / $501.43 / $1,493.72	Professional		$342.44	$501.43	$1,493.72