Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.42 / $484.34 / $2,525.86	Professional		$426.42	$484.34	$2,525.86
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 $580.76 / $790.51 / $1,449.02	Professional		$580.76	$790.51	$1,449.02
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 $366.88 / $569.29 / $1,387.74	Professional		$366.88	$569.29	$1,387.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.70 / $617.11 / $1,771.51	Professional		$474.70	$617.11	$1,771.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $533.95 / $640.74	Professional		$409.04	$533.95	$640.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.74 / $621.94 / $1,115.51	Professional		$480.74	$621.94	$1,115.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,334.75 / $2,886.70	Facility		$55.00	$2,334.75	$2,886.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,485.84 / $3,592.32 / $4,352.55	Professional		$3,485.84	$3,592.32	$4,352.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $497.96 / $632.29 / $939.45	Facility		$497.96	$632.29	$939.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $474.70 / $624.97 / $1,379.09	Professional		$474.70	$624.97	$1,379.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,567.24 / $1,567.24 / $1,567.24	Professional		$1,567.24	$1,567.24	$1,567.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $409.04 / $572.66 / $695.37	Professional		$409.04	$572.66	$695.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,243.00 / $10,979.00	Facility		$2,212.00	$4,243.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $402.08 / $578.04 / $1,628.83	Professional		$402.08	$578.04	$1,628.83