Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.73 / $6,546.00 / $17,538.00	Facility		$426.73	$6,546.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.91 / $438.98 / $2,143.19	Professional		$327.91	$438.98	$2,143.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.94 / $535.13 / $1,032.36	Professional		$367.94	$535.13	$1,032.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $287.70 / $411.02 / $961.54	Professional		$287.70	$411.02	$961.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.15 / $939.89 / $1,050.00	Facility		$705.15	$939.89	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.49 / $509.93 / $1,090.63	Professional		$376.49	$509.93	$1,090.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $487.68 / $611.67 / $730.14	Professional		$487.68	$611.67	$730.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.65 / $538.41 / $976.12	Professional		$391.65	$538.41	$976.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,768.88 / $2,846.52 / $26,542.00	Facility		$2,768.88	$2,846.52	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,940.80 / $3,338.70 / $3,760.20	Professional		$2,940.80	$3,338.70	$3,760.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $439.17 / $554.16 / $806.30	Facility		$439.17	$554.16	$806.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $379.67 / $555.33 / $1,167.07	Professional		$379.67	$555.33	$1,167.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,329.81 / $1,329.81 / $1,493.31	Professional		$1,329.81	$1,329.81	$1,493.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $4,038.00 / $9,072.00	Facility		$1,800.00	$4,038.00	$9,072.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.87 / $448.35 / $1,090.93	Professional		$345.87	$448.35	$1,090.93