Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.51 / $1,777.51 / $8,228.79	Facility		$1,777.51	$1,777.51	$8,228.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.90 / $1,777.51 / $8,228.79	Professional		$1,232.90	$1,777.51	$8,228.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.51 / $2,047.54 / $4,673.51	Professional		$466.51	$2,047.54	$4,673.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,062.37 / $7,710.68 / $16,084.41	Facility		$4,062.37	$7,710.68	$16,084.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $366.89 / $1,194.50 / $3,618.23	Professional		$366.89	$1,194.50	$3,618.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.84 / $699.25 / $2,446.54	Professional		$484.84	$699.25	$2,446.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $354.57 / $1,536.31	Professional		$282.95	$354.57	$1,536.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.31 / $860.65 / $1,740.00	Professional		$307.31	$860.65	$1,740.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,474.78 / $1,896.17	Facility		$55.00	$1,474.78	$1,896.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,261.02 / $7,457.86 / $8,547.75	Professional		$4,261.02	$7,457.86	$8,547.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $352.79 / $769.33 / $1,856.38	Facility		$352.79	$769.33	$1,856.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.31 / $923.07 / $2,859.93	Professional		$307.31	$923.07	$2,859.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,034.26 / $1,034.26 / $4,186.31	Professional		$1,034.26	$1,034.26	$4,186.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $367.83 / $1,422.78	Professional		$282.95	$367.83	$1,422.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.31 / $1,632.30 / $3,781.95	Professional		$1,035.31	$1,632.30	$3,781.95