Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,000.00 / $19,011.00	Facility		$2,197.85	$7,000.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.72 / $400.63 / $2,063.16	Professional		$368.72	$400.63	$2,063.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.89 / $823.56 / $1,505.78	Professional		$593.89	$823.56	$1,505.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,392.69	Facility		$66.00	$100.00	$8,392.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $284.33 / $429.48 / $959.75	Professional		$284.33	$429.48	$959.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,468.26 / $15,339.00 / $25,976.00	Facility		$2,468.26	$15,339.00	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $495.41 / $1,272.26	Professional		$398.15	$495.41	$1,272.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $430.30 / $2,739.37	Professional		$344.75	$430.30	$2,739.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $473.69 / $888.10	Professional		$383.50	$473.69	$888.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,937.52 / $11,082.10	Facility		$55.00	$2,937.52	$11,082.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,804.16 / $2,878.64 / $3,381.60	Professional		$2,804.16	$2,878.64	$3,381.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.34 / $504.60 / $942.91	Facility		$392.34	$504.60	$942.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.15 / $497.22 / $1,128.52	Professional		$398.15	$497.22	$1,128.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,280.14 / $1,280.14 / $1,280.14	Professional		$1,280.14	$1,280.14	$1,280.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $344.75 / $448.17 / $586.07	Professional		$344.75	$448.17	$586.07
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.11 / $501.28 / $1,157.31	Professional		$336.11	$501.28	$1,157.31