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 $472.43 / $534.41 / $2,950.45	Professional		$472.43	$534.41	$2,950.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,061.40 / $16,676.00	Facility		$3,640.00	$8,061.40	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.32 / $855.82 / $1,644.46	Professional		$655.32	$855.82	$1,644.46
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 $408.72 / $629.40 / $1,546.02	Professional		$408.72	$629.40	$1,546.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.80 / $708.56 / $2,067.55	Professional		$530.80	$708.56	$2,067.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.79 / $801.84 / $832.68	Professional		$616.79	$801.84	$832.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.22 / $722.88 / $1,289.13	Professional		$558.22	$722.88	$1,289.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,720.50 / $3,356.70	Facility		$55.00	$2,720.50	$3,356.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,056.64 / $4,177.20 / $5,070.97	Professional		$4,056.64	$4,177.20	$5,070.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.97 / $754.71 / $1,132.17	Facility		$585.97	$754.71	$1,132.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $542.82 / $724.16 / $1,554.20	Professional		$542.82	$724.16	$1,554.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,830.71 / $1,830.71 / $1,830.71	Professional		$1,830.71	$1,830.71	$1,830.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $558.85 / $683.03 / $1,402.53	Professional		$558.85	$683.03	$1,402.53
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 $470.68 / $672.59 / $1,901.24	Professional		$470.68	$672.59	$1,901.24