Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.22 / $5,793.00 / $17,030.00	Facility		$1,256.22	$5,793.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $248.22 / $1,093.44	Professional		$199.74	$248.22	$1,093.44
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 $216.25 / $325.01 / $639.20	Professional		$216.25	$325.01	$639.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,663.63	Facility		$66.70	$100.00	$6,663.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $154.27 / $232.72 / $575.29	Professional		$154.27	$232.72	$575.29
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 $207.12 / $275.07 / $835.21	Professional		$207.12	$275.07	$835.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $229.72 / $310.12	Professional		$126.58	$229.72	$310.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.75 / $268.00 / $471.68	Professional		$206.75	$268.00	$471.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $768.48 / $5,444.45 / $16,394.00	Facility		$768.48	$5,444.45	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,955.80 / $1,955.80 / $1,955.80	Professional		$1,955.80	$1,955.80	$1,955.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.27 / $274.24 / $393.90	Facility		$213.27	$274.24	$393.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.08 / $275.47 / $592.05	Professional		$208.08	$275.47	$592.05
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $2,748.00 / $2,748.00 / $2,748.00	Facility		$2,748.00	$2,748.00	$2,748.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $684.62 / $684.62 / $684.62	Professional		$684.62	$684.62	$684.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $208.61 / $254.97	Professional		$126.58	$208.61	$254.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,145.00 / $4,060.00 / $11,982.00	Facility		$2,145.00	$4,060.00	$11,982.00
United Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $258.72 / $702.45	Professional		$170.24	$258.72	$702.45