Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $4,376.00 / $16,125.00	Facility		$426.00	$4,376.00	$16,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $218.25 / $1,107.33	Professional		$184.73	$218.25	$1,107.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.42 / $331.10 / $666.22	Professional		$239.42	$331.10	$666.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $7,730.20	Facility		$66.70	$100.00	$7,730.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $168.07 / $242.43 / $577.16	Professional		$168.07	$242.43	$577.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $590.16 / $697.48 / $1,643.20	Facility		$590.16	$697.48	$1,643.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.76 / $294.23 / $1,160.08	Professional		$207.76	$294.23	$1,160.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.76 / $274.80 / $370.98	Professional		$213.76	$274.80	$370.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.34 / $274.80 / $510.99	Professional		$195.34	$274.80	$510.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $951.85 / $1,018.15 / $12,000.00	Facility		$951.85	$1,018.15	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,491.00 / $3,296.00 / $4,265.53	Professional		$2,491.00	$3,296.00	$4,265.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.68 / $302.11 / $550.07	Facility		$226.68	$302.11	$550.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.67 / $319.06 / $822.93	Professional		$212.67	$319.06	$822.93
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $641.27 / $641.27 / $762.68	Professional		$641.27	$641.27	$762.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.00 / $237.12 / $305.02	Professional		$194.00	$237.12	$305.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $7,940.00	Facility		$1,371.00	$2,731.00	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.33 / $263.24 / $751.91	Professional		$177.33	$263.24	$751.91