Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.19 / $9,639.00 / $20,509.00	Facility		$711.19	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.83 / $684.26 / $3,424.75	Professional		$602.83	$684.26	$3,424.75
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 $646.58 / $960.53 / $1,841.40	Professional		$646.58	$960.53	$1,841.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $510.09 / $786.10 / $1,929.45	Professional		$510.09	$786.10	$1,929.45
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 $644.08 / $861.18 / $2,444.37	Professional		$644.08	$861.18	$2,444.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $711.09 / $808.27 / $1,345.13	Professional		$711.09	$808.27	$1,345.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.77 / $845.01 / $1,491.40	Professional		$653.77	$845.01	$1,491.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,396.32 / $5,444.45	Facility		$55.00	$2,396.32	$5,444.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,814.12 / $4,839.68 / $5,417.85	Professional		$4,814.12	$4,839.68	$5,417.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $662.86 / $860.22 / $1,320.75	Facility		$662.86	$860.22	$1,320.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $661.71 / $873.73 / $1,851.52	Professional		$661.71	$873.73	$1,851.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,124.98 / $2,124.98 / $2,124.98	Professional		$2,124.98	$2,124.98	$2,124.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $667.49 / $896.75 / $1,345.12	Professional		$667.49	$896.75	$1,345.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,352.00 / $15,471.00	Facility		$3,087.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $524.70 / $796.37 / $2,069.02	Professional		$524.70	$796.37	$2,069.02