Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,193.54 / $7,206.00 / $20,509.00	Facility		$2,193.54	$7,206.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.41 / $370.97 / $1,981.39	Professional		$337.41	$370.97	$1,981.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $14,570.00	Facility		$2,143.00	$6,048.00	$14,570.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.65 / $715.11 / $1,319.11	Professional		$530.65	$715.11	$1,319.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $8,002.61	Facility		$64.40	$100.00	$8,002.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $265.38 / $394.69 / $879.45	Professional		$265.38	$394.69	$879.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,475.00 / $17,321.00 / $28,738.75	Facility		$13,475.00	$17,321.00	$28,738.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.29 / $481.03 / $1,241.45	Professional		$391.29	$481.03	$1,241.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $399.33 / $26,988.33	Professional		$312.73	$399.33	$26,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.29 / $440.20 / $830.86	Professional		$356.29	$440.20	$830.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,733.36 / $11,933.00 / $109,181.40	Facility		$2,733.36	$11,933.00	$109,181.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,606.48 / $2,676.24 / $3,147.90	Professional		$2,606.48	$2,676.24	$3,147.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $366.04 / $468.80 / $895.26	Facility		$366.04	$468.80	$895.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $394.29 / $481.23 / $1,144.96	Professional		$394.29	$481.23	$1,144.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,229.41 / $1,229.41 / $1,229.41	Professional		$1,229.41	$1,229.41	$1,229.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $312.73 / $406.55 / $531.64	Professional		$312.73	$406.55	$531.64
United Facility/Professional Facility Modifier Low / Median / High Price $13,912.00 / $33,384.00 / $84,496.00	Facility		$13,912.00	$33,384.00	$84,496.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.19 / $481.46 / $1,089.58	Professional		$319.19	$481.46	$1,089.58