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 $277.82 / $313.27 / $1,660.33	Professional		$277.82	$313.27	$1,660.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,536.00	Facility		$1,759.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.05 / $472.04 / $949.81	Professional		$340.05	$472.04	$949.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $220.93 / $343.15 / $835.70	Professional		$220.93	$343.15	$835.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $400.17 / $1,131.38	Professional		$293.58	$400.17	$1,131.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $359.92 / $395.91 / $1,685.12	Professional		$359.92	$395.91	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.99 / $413.91 / $732.20	Professional		$321.99	$413.91	$732.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,184.52 / $6,817.20 / $12,000.00	Facility		$1,184.52	$6,817.20	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,307.28 / $2,379.44 / $2,702.18	Professional		$2,307.28	$2,379.44	$2,702.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.55 / $399.38 / $575.87	Facility		$277.55	$399.38	$575.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.63 / $412.03 / $891.91	Professional		$294.63	$412.03	$891.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,030.19 / $1,030.19 / $1,030.19	Professional		$1,030.19	$1,030.19	$1,030.19
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 $252.76 / $357.24 / $1,064.01	Professional		$252.76	$357.24	$1,064.01