Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.18 / $10,004.00 / $22,788.00	Facility		$723.18	$10,004.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.23 / $694.79 / $3,610.00	Professional		$468.23	$694.79	$3,610.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.39 / $1,160.69 / $20,997.00	Facility		$687.39	$1,160.69	$20,997.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $838.91 / $1,873.87	Professional		$100.30	$838.91	$1,873.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $518.66 / $763.69 / $1,777.86	Professional		$518.66	$763.69	$1,777.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.00 / $900.00 / $13,577.00	Facility		$633.00	$900.00	$13,577.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $679.39	Professional		$679.39	$679.39	$679.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $824.80 / $907.28 / $1,113.48	Professional		$824.80	$907.28	$1,113.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $696.36 / $907.28 / $1,402.16	Professional		$696.36	$907.28	$1,402.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,296.58 / $4,121.33 / $4,121.33	Facility		$1,296.58	$4,121.33	$4,121.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,679.27 / $4,679.27 / $6,526.05	Professional		$4,679.27	$4,679.27	$6,526.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.04 / $908.39 / $1,329.70	Facility		$675.04	$908.39	$1,329.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $679.39 / $679.39 / $1,904.56	Professional		$679.39	$679.39	$1,904.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,239.94 / $2,239.94 / $2,239.94	Professional		$2,239.94	$2,239.94	$2,239.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.00 / $4,820.00 / $20,279.00	Facility		$1,055.00	$4,820.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.67 / $762.83 / $1,718.02	Professional		$547.67	$762.83	$1,718.02