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 $394.47 / $440.31 / $2,226.61	Professional		$394.47	$440.31	$2,226.61
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 $439.24 / $628.30 / $1,227.24	Professional		$439.24	$628.30	$1,227.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,537.56	Facility		$66.00	$100.00	$5,537.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $276.20 / $428.09 / $1,044.74	Professional		$276.20	$428.09	$1,044.74
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 $412.82 / $556.22 / $1,682.02	Professional		$412.82	$556.22	$1,682.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $485.08 / $654.86	Professional		$328.74	$485.08	$654.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.46 / $556.79 / $993.89	Professional		$428.46	$556.79	$993.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,739.87 / $5,444.45	Facility		$55.00	$2,739.87	$5,444.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,095.68 / $3,163.76 / $3,543.15	Professional		$3,095.68	$3,163.76	$3,543.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.62 / $579.05 / $838.88	Facility		$438.62	$579.05	$838.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.87 / $556.74 / $1,205.76	Professional		$418.87	$556.74	$1,205.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,381.56 / $1,381.56 / $1,381.56	Professional		$1,381.56	$1,381.56	$1,381.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $493.11 / $621.85	Professional		$328.74	$493.11	$621.85
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 $350.68 / $514.41 / $1,417.42	Professional		$350.68	$514.41	$1,417.42