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 $506.87 / $571.24 / $2,782.87	Professional		$506.87	$571.24	$2,782.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.79 / $841.11 / $1,607.44	Professional		$554.79	$841.11	$1,607.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $582.76 / $1,444.87	Professional		$388.00	$582.76	$1,444.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.11 / $471.68 / $1,111.23	Facility		$399.11	$471.68	$1,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.15 / $692.87 / $2,108.44	Professional		$529.15	$692.87	$2,108.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $442.95 / $686.59	Professional		$235.67	$442.95	$686.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.94 / $660.87 / $1,180.48	Professional		$514.94	$660.87	$1,180.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,864.88 / $4,882.00	Facility		$55.00	$3,864.88	$4,882.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,821.36 / $3,905.52 / $4,349.03	Professional		$3,821.36	$3,905.52	$4,349.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.89 / $686.59 / $1,016.72	Facility		$521.89	$686.59	$1,016.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $529.15 / $692.87 / $1,493.66	Professional		$529.15	$692.87	$1,493.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,726.73 / $1,726.73 / $1,726.73	Professional		$1,726.73	$1,726.73	$1,726.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $416.07 / $635.03	Professional		$235.67	$416.07	$635.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $2,699.00 / $7,655.00	Facility		$1,031.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.52 / $655.98 / $1,767.24	Professional		$429.52	$655.98	$1,767.24