Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $6,695.00 / $18,293.00	Facility		$656.00	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.69 / $612.91 / $2,896.02	Professional		$456.69	$612.91	$2,896.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.40 / $748.00 / $1,438.17	Professional		$576.40	$748.00	$1,438.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $435.39 / $639.82 / $1,536.60	Professional		$435.39	$639.82	$1,536.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.01 / $728.23 / $1,716.90	Professional		$514.01	$728.23	$1,716.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $604.25 / $976.07	Professional		$372.30	$604.25	$976.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.89 / $696.67 / $1,197.52	Professional		$474.89	$696.67	$1,197.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,213.06 / $3,253.62 / $26,542.00	Facility		$3,213.06	$3,253.62	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,413.12 / $4,460.56 / $5,134.80	Professional		$3,413.12	$4,460.56	$5,134.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $560.72 / $746.96 / $1,054.77	Facility		$560.72	$746.96	$1,054.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $514.22 / $767.54 / $1,639.76	Professional		$514.22	$767.54	$1,639.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,568.46 / $1,568.46 / $2,070.96	Professional		$1,568.46	$1,568.46	$2,070.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $443.81 / $610.24 / $834.39	Professional		$443.81	$610.24	$834.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.69 / $730.21 / $2,016.71	Professional		$498.69	$730.21	$2,016.71