Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.65 / $6,135.00 / $16,210.00	Facility		$1,707.65	$6,135.00	$16,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.02 / $285.42 / $973.00	Professional		$188.02	$285.42	$973.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,718.00 / $9,381.00	Facility		$1,787.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.79 / $301.20 / $576.35	Professional		$225.79	$301.20	$576.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $6,720.31	Facility		$66.70	$100.00	$6,720.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $210.05 / $514.91	Professional		$136.13	$210.05	$514.91
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 $195.52 / $258.66 / $783.36	Professional		$195.52	$258.66	$783.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $225.87 / $304.92	Professional		$126.58	$225.87	$304.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $259.66 / $457.01	Professional		$199.98	$259.66	$457.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $731.52 / $5,444.45 / $16,394.00	Facility		$731.52	$5,444.45	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,656.00 / $1,656.00 / $1,656.00	Professional		$1,656.00	$1,656.00	$1,656.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.48 / $269.36 / $366.93	Facility		$204.48	$269.36	$366.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.66 / $259.43 / $561.83	Professional		$199.66	$259.43	$561.83
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $3,957.00 / $3,957.00 / $3,957.00	Facility		$3,957.00	$3,957.00	$3,957.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $644.50 / $644.50 / $644.50	Professional		$644.50	$644.50	$644.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.58 / $203.18 / $250.80	Professional		$126.58	$203.18	$250.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,693.00 / $7,106.00 / $16,148.00	Facility		$3,693.00	$7,106.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $232.88 / $633.10	Professional		$159.04	$232.88	$633.10