Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $552.66 / $7,841.00 / $19,011.00	Facility		$552.66	$7,841.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.23 / $552.66 / $1,915.84	Professional		$454.23	$552.66	$1,915.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,465.00 / $8,976.00	Facility		$1,546.00	$4,465.00	$8,976.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.03 / $804.96 / $1,546.72	Professional		$383.03	$804.96	$1,546.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,021.77	Facility		$66.00	$100.00	$5,021.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $395.14 / $564.48 / $1,326.87	Professional		$395.14	$564.48	$1,326.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.64 / $310.29 / $555.00	Facility		$227.64	$310.29	$555.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.68 / $689.98 / $1,502.77	Professional		$508.68	$689.98	$1,502.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $719.42 / $924.12	Professional		$421.82	$719.42	$924.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.51 / $719.42 / $1,390.13	Professional		$547.51	$719.42	$1,390.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,574.64 / $9,102.00 / $11,500.00	Facility		$4,574.64	$9,102.00	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.80 / $4,490.08 / $4,938.75	Professional		$4,168.80	$4,490.08	$4,938.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.04 / $752.38 / $1,087.02	Facility		$604.04	$752.38	$1,087.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.38 / $746.33 / $1,586.50	Professional		$513.38	$746.33	$1,586.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,891.22 / $1,891.22 / $1,974.16	Professional		$1,891.22	$1,891.22	$1,974.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.36 / $654.19 / $799.57	Professional		$548.36	$654.19	$799.57
United Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $1,485.00 / $5,691.00	Facility		$466.00	$1,485.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $595.00 / $1,344.61	Professional		$459.00	$595.00	$1,344.61