Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.00 / $9,560.00 / $19,368.00	Facility		$885.00	$9,560.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.85 / $427.21 / $1,825.00	Professional		$346.85	$427.21	$1,825.00
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 $420.55 / $551.20 / $1,059.78	Professional		$420.55	$551.20	$1,059.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $11,847.40	Facility		$66.70	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $277.98 / $414.25 / $987.77	Professional		$277.98	$414.25	$987.77
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 $356.20 / $480.59 / $1,053.65	Professional		$356.20	$480.59	$1,053.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $464.95 / $644.36	Professional		$168.65	$464.95	$644.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.08 / $515.80 / $870.67	Professional		$382.08	$515.80	$870.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.44 / $2,207.05 / $26,542.00	Facility		$2,137.44	$2,207.05	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,661.68 / $3,157.76 / $3,750.98	Professional		$2,661.68	$3,157.76	$3,750.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.93 / $506.08 / $682.50	Facility		$389.93	$506.08	$682.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $359.15 / $506.43 / $1,050.40	Professional		$359.15	$506.43	$1,050.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,177.64 / $1,177.64 / $1,317.09	Professional		$1,177.64	$1,177.64	$1,317.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $399.76 / $549.66	Professional		$168.65	$399.76	$549.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,163.00 / $16,148.00	Facility		$3,867.00	$7,163.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.47 / $472.80 / $1,304.15	Professional		$328.47	$472.80	$1,304.15