Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.95 / $5,178.00 / $16,573.00	Facility		$1,208.95	$5,178.00	$16,573.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $568.53 / $2,889.20	Professional		$409.75	$568.53	$2,889.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.41 / $673.20 / $1,316.60	Professional		$472.41	$673.20	$1,316.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,349.65	Facility		$66.00	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $334.15 / $482.28 / $1,119.11	Professional		$334.15	$482.28	$1,119.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.64 / $1,726.46 / $2,353.27	Facility		$372.64	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.14 / $638.67 / $1,461.42	Professional		$444.14	$638.67	$1,461.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $386.45 / $678.33 / $915.75	Professional		$386.45	$678.33	$915.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $700.89 / $1,327.00	Professional		$526.41	$700.89	$1,327.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,527.44 / $11,500.00 / $12,000.00	Facility		$3,527.44	$11,500.00	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,014.16 / $4,155.35 / $4,587.22	Professional		$4,014.16	$4,155.35	$4,587.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $568.19 / $714.20 / $1,177.50	Facility		$568.19	$714.20	$1,177.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.96 / $677.19 / $1,499.25	Professional		$450.96	$677.19	$1,499.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,792.70 / $1,792.70 / $1,792.70	Professional		$1,792.70	$1,792.70	$1,792.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $487.34 / $616.90 / $828.48	Professional		$487.34	$616.90	$828.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.62 / $527.79 / $1,351.67	Professional		$406.62	$527.79	$1,351.67