Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,626.00 / $18,236.02	Facility		$2,421.00	$8,626.00	$18,236.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.41 / $397.97 / $1,617.00	Professional		$344.41	$397.97	$1,617.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.98 / $595.02 / $1,144.03	Professional		$453.98	$595.02	$1,144.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,739.33	Facility		$66.70	$100.00	$8,739.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $297.98 / $457.39 / $1,061.74	Professional		$297.98	$457.39	$1,061.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.98 / $453.64 / $1,243.52	Professional		$351.98	$453.64	$1,243.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $274.63 / $337.04 / $455.00	Professional		$274.63	$337.04	$455.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.33 / $388.90 / $703.59	Professional		$303.33	$388.90	$703.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,439.15 / $12,623.50 / $26,542.00	Facility		$1,439.15	$12,623.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,770.00 / $4,770.00 / $4,770.00	Professional		$4,770.00	$4,770.00	$4,770.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.41 / $465.71 / $696.18	Facility		$344.41	$465.71	$696.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.16 / $459.67 / $993.42	Professional		$358.16	$459.67	$993.42
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $6,426.00 / $6,426.00 / $6,426.00	Facility		$6,426.00	$6,426.00	$6,426.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,022.33 / $1,022.33 / $1,022.33	Professional		$1,022.33	$1,022.33	$1,022.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $274.63 / $373.84 / $466.87	Professional		$274.63	$373.84	$466.87
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $403.04 / $1,118.75	Professional		$265.64	$403.04	$1,118.75