Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.00 / $8,301.00 / $17,380.00	Facility		$2,517.00	$8,301.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $374.29 / $1,544.00	Professional		$326.68	$374.29	$1,544.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,311.00 / $15,399.00	Facility		$2,629.00	$7,311.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.18 / $621.73 / $1,219.46	Professional		$431.18	$621.73	$1,219.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,968.67	Facility		$66.70	$100.00	$8,968.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $268.01 / $417.26 / $1,013.76	Professional		$268.01	$417.26	$1,013.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $11,684.00 / $14,696.00	Facility		$3,613.43	$11,684.00	$14,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.81 / $466.24 / $1,329.47	Professional		$358.81	$466.24	$1,329.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $420.21 / $421.39 / $632.09	Professional		$420.21	$421.39	$632.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.08 / $483.24 / $853.56	Professional		$375.08	$483.24	$853.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,412.55 / $16,223.75 / $26,542.00	Facility		$2,412.55	$16,223.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.88 / $2,806.88 / $3,147.90	Professional		$2,806.88	$2,806.88	$3,147.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.08 / $491.86 / $831.58	Facility		$381.08	$491.86	$831.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.81 / $480.35 / $1,040.89	Professional		$358.81	$480.35	$1,040.89
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,321.00 / $8,321.00 / $8,321.00	Facility		$8,321.00	$8,321.00	$8,321.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,203.79 / $1,203.79 / $1,203.79	Professional		$1,203.79	$1,203.79	$1,203.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $378.39 / $466.32 / $716.37	Professional		$378.39	$466.32	$716.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.52 / $416.91 / $1,089.34	Professional		$289.52	$416.91	$1,089.34