Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,357.00 / $17,133.00	Facility		$2,020.00	$6,357.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.63 / $398.84 / $1,870.74	Professional		$339.63	$398.84	$1,870.74
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 $401.92 / $526.78 / $1,023.94	Professional		$401.92	$526.78	$1,023.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,926.46	Facility		$66.00	$100.00	$6,926.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $350.81 / $855.64	Professional		$226.21	$350.81	$855.64
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 $338.15 / $469.66 / $1,410.97	Professional		$338.15	$469.66	$1,410.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $412.74 / $557.20	Professional		$281.83	$412.74	$557.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.73 / $471.55 / $843.23	Professional		$362.73	$471.55	$843.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.64 / $5,444.45 / $16,394.00	Facility		$1,322.64	$5,444.45	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,614.16 / $2,669.44 / $2,996.85	Professional		$2,614.16	$2,669.44	$2,996.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.32 / $461.92 / $660.38	Facility		$355.32	$461.92	$660.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $355.32 / $469.66 / $1,014.58	Professional		$355.32	$469.66	$1,014.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,160.74 / $1,160.74 / $1,160.74	Professional		$1,160.74	$1,160.74	$1,160.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $281.83 / $422.75 / $533.12	Professional		$281.83	$422.75	$533.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.47 / $413.80 / $1,130.19	Professional		$285.47	$413.80	$1,130.19