Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,858.00 / $19,745.00	Facility		$1,956.72	$7,858.00	$19,745.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.30 / $536.83 / $1,372.84	Professional		$432.30	$536.83	$1,372.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $519.65 / $674.35 / $1,321.31	Professional		$519.65	$674.35	$1,321.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $297.12 / $459.15 / $1,123.89	Professional		$297.12	$459.15	$1,123.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.84 / $592.71 / $1,812.45	Professional		$434.84	$592.71	$1,812.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $518.36 / $699.79	Professional		$337.30	$518.36	$699.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.92 / $595.90 / $1,068.56	Professional		$458.92	$595.90	$1,068.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,098.15 / $9,388.90 / $26,542.00	Facility		$2,098.15	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,830.56 / $3,830.56 / $3,830.56	Professional		$3,830.56	$3,830.56	$3,830.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.29 / $622.03 / $901.03	Facility		$469.29	$622.03	$901.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.15 / $595.79 / $1,292.89	Professional		$449.15	$595.79	$1,292.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,484.55 / $1,484.55 / $1,484.55	Professional		$1,484.55	$1,484.55	$1,484.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $505.96 / $638.04	Professional		$337.30	$505.96	$638.04
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 $377.35 / $535.87 / $1,341.67	Professional		$377.35	$535.87	$1,341.67