Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $6,695.00 / $18,253.13	Facility		$1,256.22	$6,695.00	$18,253.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $125.19 / $313.70	Professional		$92.33	$125.19	$313.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $189.79 / $353.33	Professional		$128.47	$189.79	$353.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $9,276.48	Facility		$66.70	$100.00	$9,276.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $135.78 / $324.04	Professional		$100.00	$135.78	$324.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $163.68 / $490.18	Professional		$119.86	$163.68	$490.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $145.08 / $195.86	Professional		$75.95	$145.08	$195.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $159.74 / $284.42	Professional		$122.41	$159.74	$284.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $658.02 / $7,909.30 / $26,542.00	Facility		$658.02	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $862.64 / $886.56 / $1,004.78	Professional		$862.64	$886.56	$1,004.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $156.61 / $232.13	Facility		$120.47	$156.61	$232.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $166.25 / $340.44	Professional		$122.18	$166.25	$340.44
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,239.00 / $4,239.00 / $4,239.00	Facility		$4,239.00	$4,239.00	$4,239.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $388.55 / $388.55 / $388.55	Professional		$388.55	$388.55	$388.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $126.25 / $161.18	Professional		$75.95	$126.25	$161.18
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 $94.36 / $138.16 / $450.96	Professional		$94.36	$138.16	$450.96