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 $450.33 / $509.59 / $2,650.26	Professional		$450.33	$509.59	$2,650.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,769.00 / $11,233.00	Facility		$2,143.00	$5,769.00	$11,233.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.17 / $789.19 / $1,542.69	Professional		$612.17	$789.19	$1,542.69
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 $206.02 / $243.48 / $573.61	Facility		$206.02	$243.48	$573.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.69 / $636.46 / $1,681.38	Professional		$457.69	$636.46	$1,681.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $240.08 / $426.39 / $641.24	Professional		$240.08	$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 $457.69 / $644.37 / $1,401.93	Professional		$457.69	$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 $410.40 / $612.62 / $1,745.74	Professional		$410.40	$612.62	$1,745.74