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 $455.87 / $516.14 / $2,650.26	Professional		$455.87	$516.14	$2,650.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,706.00 / $13,707.00	Facility		$2,456.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.70 / $797.96 / $1,553.25	Professional		$622.70	$797.96	$1,553.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,117.38	Facility		$66.00	$100.00	$5,117.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.37 / $531.92 / $1,311.25	Professional		$349.37	$531.92	$1,311.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $328.86 / $774.77	Facility		$278.27	$328.86	$774.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.14 / $636.46 / $1,725.08	Professional		$459.14	$636.46	$1,725.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $426.39 / $641.24	Professional		$284.26	$426.39	$641.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.94 / $626.64 / $1,140.27	Professional		$491.94	$626.64	$1,140.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,396.75 / $4,164.16	Facility		$55.00	$3,396.75	$4,164.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,598.32 / $3,699.44 / $4,523.85	Professional		$3,598.32	$3,699.44	$4,523.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $482.91 / $626.64 / $860.26	Facility		$482.91	$626.64	$860.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.14 / $644.37 / $1,401.93	Professional		$459.14	$644.37	$1,401.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,644.42 / $1,644.42 / $1,644.42	Professional		$1,644.42	$1,644.42	$1,644.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $483.24 / $591.42	Professional		$284.26	$483.24	$591.42
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $6,920.00	Facility		$545.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.60 / $606.36 / $1,821.92	Professional		$425.60	$606.36	$1,821.92