Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.94 / $439.11 / $2,252.16	Professional		$386.94	$439.11	$2,252.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.35 / $674.14 / $1,296.16	Professional		$514.35	$674.14	$1,296.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $288.06 / $448.46 / $1,089.59	Professional		$288.06	$448.46	$1,089.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.20 / $540.72 / $1,501.98	Professional		$391.20	$540.72	$1,501.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $499.43 / $608.04 / $912.06	Professional		$499.43	$608.04	$912.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.92 / $573.17 / $1,008.79	Professional		$441.92	$573.17	$1,008.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,831.99 / $9,496.40 / $26,542.00	Facility		$2,831.99	$9,496.40	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,307.72 / $4,307.72 / $4,307.72	Professional		$4,307.72	$4,307.72	$4,307.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.78 / $575.97 / $943.55	Facility		$450.78	$575.97	$943.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.03 / $569.17 / $1,205.44	Professional		$406.03	$569.17	$1,205.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,397.43 / $1,397.43 / $1,397.43	Professional		$1,397.43	$1,397.43	$1,397.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $447.24 / $554.32 / $1,033.67	Professional		$447.24	$554.32	$1,033.67
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 $334.26 / $482.82 / $1,512.03	Professional		$334.26	$482.82	$1,512.03