Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.84 / $374.35 / $1,897.43	Professional		$334.84	$374.35	$1,897.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.54 / $531.53 / $1,038.25	Professional		$405.54	$531.53	$1,038.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.53	Facility		$66.00	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.30 / $348.64 / $844.65	Professional		$223.30	$348.64	$844.65
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 $354.41 / $477.56 / $1,431.11	Professional		$354.41	$477.56	$1,431.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $339.17 / $418.46 / $564.91	Professional		$339.17	$418.46	$564.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.77 / $478.10 / $854.83	Professional		$367.77	$478.10	$854.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,341.20 / $9,388.90 / $12,000.00	Facility		$1,341.20	$9,388.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,648.72 / $2,703.68 / $3,040.43	Professional		$2,648.72	$2,703.68	$3,040.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.48 / $478.70 / $675.89	Facility		$374.48	$478.70	$675.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.31 / $480.89 / $1,029.38	Professional		$357.31	$480.89	$1,029.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,177.32 / $1,177.32 / $1,177.32	Professional		$1,177.32	$1,177.32	$1,177.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $339.17 / $464.67 / $576.58	Professional		$339.17	$464.67	$576.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $431.52 / $1,338.70	Professional		$297.36	$431.52	$1,338.70