Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.00 / $6,486.00 / $17,393.00	Facility		$530.00	$6,486.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $443.90 / $1,654.70	Professional		$270.00	$443.90	$1,654.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.61 / $492.78 / $1,109.11	Professional		$317.61	$492.78	$1,109.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $245.54 / $381.46 / $858.40	Professional		$245.54	$381.46	$858.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,943.01 / $2,296.29 / $5,409.85	Facility		$1,943.01	$2,296.29	$5,409.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.29 / $493.56 / $1,134.99	Professional		$308.29	$493.56	$1,134.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $341.40 / $430.53 / $666.38	Professional		$341.40	$430.53	$666.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.61 / $504.54 / $862.51	Professional		$334.61	$504.54	$862.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,519.04 / $1,655.00 / $26,542.00	Facility		$1,519.04	$1,655.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,332.88 / $3,355.46 / $3,887.18	Professional		$2,332.88	$3,355.46	$3,887.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.61 / $488.84 / $730.10	Facility		$334.61	$488.84	$730.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.29 / $530.09 / $1,126.54	Professional		$308.29	$530.09	$1,126.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,026.70 / $1,026.70 / $1,517.18	Professional		$1,026.70	$1,026.70	$1,517.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $430.53 / $616.66	Professional		$309.60	$430.53	$616.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.19 / $541.20 / $1,690.15	Professional		$350.19	$541.20	$1,690.15