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 $588.79 / $672.42 / $3,180.68	Professional		$588.79	$672.42	$3,180.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.87 / $910.33 / $1,750.26	Professional		$630.87	$910.33	$1,750.26
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 $443.28 / $665.63 / $1,650.46	Professional		$443.28	$665.63	$1,650.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.07 / $791.57 / $2,408.73	Professional		$600.07	$791.57	$2,408.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $652.08 / $880.31	Professional		$272.89	$652.08	$880.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.87 / $753.62 / $1,345.81	Professional		$586.87	$753.62	$1,345.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,407.35 / $14,302.50	Facility		$55.00	$4,407.35	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,359.92 / $4,459.84 / $4,957.43	Professional		$4,359.92	$4,459.84	$4,957.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.41 / $782.50 / $1,202.35	Facility		$598.41	$782.50	$1,202.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $600.07 / $791.57 / $1,706.90	Professional		$600.07	$791.57	$1,706.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,973.53 / $1,973.53 / $1,973.53	Professional		$1,973.53	$1,973.53	$1,973.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.89 / $481.80 / $723.73	Professional		$272.89	$481.80	$723.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,213.00 / $9,131.00	Facility		$2,048.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $506.12 / $759.34 / $2,141.01	Professional		$506.12	$759.34	$2,141.01