Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.50 / $6,423.00 / $17,538.00	Facility		$718.50	$6,423.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.15 / $669.69 / $3,203.09	Professional		$484.15	$669.69	$3,203.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.85 / $781.02 / $1,523.36	Professional		$601.85	$781.02	$1,523.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,551.81	Facility		$66.00	$100.00	$8,551.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $516.59 / $737.99 / $1,699.81	Professional		$516.59	$737.99	$1,699.81
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 $536.39 / $792.95 / $1,816.21	Professional		$536.39	$792.95	$1,816.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $690.23 / $1,044.85	Professional		$446.76	$690.23	$1,044.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.15 / $778.95 / $1,283.65	Professional		$530.15	$778.95	$1,283.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,737.60 / $4,856.56 / $26,542.00	Facility		$4,737.60	$4,856.56	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,018.00 / $4,669.60 / $5,424.83	Professional		$4,018.00	$4,669.60	$5,424.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $527.76 / $787.10 / $1,197.82	Facility		$527.76	$787.10	$1,197.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.39 / $819.52 / $1,715.24	Professional		$536.39	$819.52	$1,715.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,701.46 / $1,701.46 / $2,153.46	Professional		$1,701.46	$1,701.46	$2,153.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $507.06 / $697.20 / $893.27	Professional		$507.06	$697.20	$893.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,451.00	Facility		$5,284.00	$12,267.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $532.97 / $763.19 / $2,254.59	Professional		$532.97	$763.19	$2,254.59