Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.98 / $9,639.00 / $20,509.00	Facility		$869.98	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.35 / $869.98 / $4,948.28	Professional		$769.35	$869.98	$4,948.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,932.00 / $18,903.00	Facility		$4,043.00	$8,932.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,239.79 / $1,617.35 / $3,124.27	Professional		$1,239.79	$1,617.35	$3,124.27
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 $640.78 / $996.54 / $2,429.27	Professional		$640.78	$996.54	$2,429.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.19 / $1,252.61 / $3,377.17	Professional		$912.19	$1,252.61	$3,377.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.18 / $1,186.00 / $1,401.63	Professional		$1,078.18	$1,186.00	$1,401.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $970.36 / $1,245.65 / $2,242.94	Professional		$970.36	$1,245.65	$2,242.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,437.29 / $11,462.50	Facility		$55.00	$9,437.29	$11,462.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,562.06 / $7,562.06 / $8,916.53	Professional		$7,562.06	$7,562.06	$8,916.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $995.12 / $1,245.65 / $1,889.96	Facility		$995.12	$1,245.65	$1,889.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.46 / $1,255.26 / $2,725.00	Professional		$899.46	$1,255.26	$2,725.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,070.32 / $3,070.32 / $3,070.32	Professional		$3,070.32	$3,070.32	$3,070.32
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 $794.36 / $1,130.08 / $2,991.30	Professional		$794.36	$1,130.08	$2,991.30