Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,339.69 / $6,880.00 / $18,681.00	Facility		$2,339.69	$6,880.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.61 / $491.80 / $2,339.69	Professional		$442.61	$491.80	$2,339.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,311.00 / $21,946.00	Facility		$3,294.00	$9,311.00	$21,946.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.60 / $1,029.09 / $1,789.85	Professional		$740.60	$1,029.09	$1,789.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,774.09	Facility		$66.00	$100.00	$20,774.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.56 / $537.86 / $1,175.65	Professional		$354.56	$537.86	$1,175.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,476.56 / $15,339.00 / $25,976.00	Facility		$9,476.56	$15,339.00	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.07 / $604.61 / $1,493.39	Professional		$483.07	$604.61	$1,493.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.89 / $484.24 / $10,517.42	Professional		$428.89	$484.24	$10,517.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.76 / $535.48 / $1,002.56	Professional		$427.76	$535.48	$1,002.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,329.44 / $42,548.30	Facility		$55.00	$3,329.44	$42,548.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,173.04 / $3,253.04 / $3,833.78	Professional		$3,173.04	$3,253.04	$3,833.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.23 / $581.09 / $1,069.64	Facility		$446.23	$581.09	$1,069.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $483.07 / $607.23 / $1,457.41	Professional		$483.07	$607.23	$1,457.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,451.74 / $1,451.74 / $1,451.74	Professional		$1,451.74	$1,451.74	$1,451.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $428.89 / $536.76 / $729.11	Professional		$428.89	$536.76	$729.11
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $16,855.00 / $49,110.00	Facility		$8,830.00	$16,855.00	$49,110.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.93 / $592.63 / $1,285.27	Professional		$381.93	$592.63	$1,285.27