Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.00 / $6,211.00 / $17,013.00	Facility		$694.00	$6,211.00	$17,013.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.30 / $287.66 / $694.81	Professional		$134.30	$287.66	$694.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $322.69 / $672.48	Professional		$150.72	$322.69	$672.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,929.19	Facility		$66.70	$100.00	$6,929.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $269.69 / $533.44	Professional		$138.44	$269.69	$533.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $306.02 / $752.22	Professional		$139.34	$306.02	$752.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $182.28 / $427.31	Professional		$148.16	$182.28	$427.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $292.93 / $512.63	Professional		$133.88	$292.93	$512.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.32 / $1,021.77 / $16,394.00	Facility		$652.32	$1,021.77	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,239.00 / $2,383.65 / $3,552.73	Professional		$1,239.00	$2,383.65	$3,552.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.41 / $292.83 / $481.72	Facility		$140.41	$292.83	$481.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $139.43 / $311.52 / $752.22	Professional		$139.43	$311.52	$752.22
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $4,577.00 / $4,577.00 / $4,577.00	Facility		$4,577.00	$4,577.00	$4,577.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $431.13 / $431.13 / $979.31	Professional		$431.13	$431.13	$979.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $191.56 / $395.79	Professional		$121.52	$191.56	$395.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.36 / $359.91 / $979.48	Professional		$234.36	$359.91	$979.48