Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,951.21 / $4,897.79	Facility		$1,000.00	$2,951.21	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $794.33	Professional		$446.68	$588.84	$794.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,778.28 / $3,630.78	Facility		$933.25	$1,778.28	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $741.31	Professional		$229.09	$309.03	$741.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,659.59 / $6,918.31	Facility		$69.18	$1,659.59	$6,918.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $1,412.54	Professional		$416.87	$549.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,202.26 / $2,398.83	Facility		$489.78	$1,202.26	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $977.24	Professional		$575.44	$724.44	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,258.93	Professional		$645.65	$794.33	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $5,370.32	Professional		$3,630.78	$5,370.32	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $870.96 / $1,862.09	Facility		$562.34	$870.96	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,047.13	Professional		$724.44	$794.33	$1,047.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $8,709.64	Professional		$575.44	$724.44	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $724.44 / $724.44	Facility		$302.00	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,380.38	Professional		$302.00	$302.00	$1,380.38