Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $301.52 / $1,613.22	Professional		$262.22	$301.52	$1,613.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $10,536.00	Facility		$1,787.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.42 / $480.61 / $950.79	Professional		$325.42	$480.61	$950.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.93 / $315.62 / $703.26	Professional		$204.93	$315.62	$703.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,468.26 / $2,468.26 / $2,917.04	Facility		$2,468.26	$2,468.26	$2,917.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $375.42 / $1,024.63	Professional		$287.27	$375.42	$1,024.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $363.87 / $2,739.37	Professional		$223.38	$363.87	$2,739.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.80 / $393.93 / $730.03	Professional		$314.80	$393.93	$730.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,728.64 / $11,082.10 / $12,000.00	Facility		$4,728.64	$11,082.10	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,255.76 / $2,303.19 / $2,738.48	Professional		$2,255.76	$2,303.19	$2,738.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $326.50 / $404.26 / $619.50	Facility		$326.50	$404.26	$619.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $379.35 / $872.44	Professional		$287.27	$379.35	$872.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.96 / $1,000.96 / $1,000.96	Professional		$1,000.96	$1,000.96	$1,000.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $223.38 / $330.23 / $422.55	Professional		$223.38	$330.23	$422.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.05 / $349.44 / $854.21	Professional		$254.05	$349.44	$854.21