Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.62 / $9,639.00 / $20,509.00	Facility		$389.62	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.27 / $389.62 / $2,322.02	Professional		$324.27	$389.62	$2,322.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.48 / $8,040.00 / $19,246.00	Facility		$2,399.48	$8,040.00	$19,246.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.12 / $745.71 / $1,392.55	Professional		$558.12	$745.71	$1,392.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $304.51 / $465.95 / $1,151.82	Professional		$304.51	$465.95	$1,151.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.93 / $580.88 / $1,669.33	Professional		$403.93	$580.88	$1,669.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $459.17 / $565.92	Professional		$303.42	$459.17	$565.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.55 / $572.74 / $1,008.02	Professional		$437.55	$572.74	$1,008.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,153.40 / $2,176.40	Facility		$55.00	$1,153.40	$2,176.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,374.85 / $3,374.85 / $4,165.43	Professional		$3,374.85	$3,374.85	$4,165.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $458.19 / $583.45 / $882.75	Facility		$458.19	$583.45	$882.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.14 / $582.20 / $1,240.83	Professional		$422.14	$582.20	$1,240.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,440.76 / $1,440.76 / $1,440.76	Professional		$1,440.76	$1,440.76	$1,440.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $455.14 / $573.96	Professional		$303.42	$455.14	$573.96
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 $366.12 / $531.27 / $1,453.70	Professional		$366.12	$531.27	$1,453.70