Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.40 / $6,695.00 / $17,538.00	Facility		$589.40	$6,695.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.33 / $548.77 / $2,574.19	Professional		$378.33	$548.77	$2,574.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.92 / $637.23 / $1,285.25	Professional		$423.92	$637.23	$1,285.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $391.03 / $596.61 / $1,181.41	Professional		$391.03	$596.61	$1,181.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,726.46 / $2,353.27	Facility		$705.31	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $656.48 / $1,326.49	Professional		$438.50	$656.48	$1,326.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $389.80 / $663.84 / $1,038.04	Professional		$389.80	$663.84	$1,038.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.63 / $675.55 / $1,191.83	Professional		$444.63	$675.55	$1,191.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,145.08 / $3,228.84 / $26,542.00	Facility		$3,145.08	$3,228.84	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,338.16 / $4,459.52 / $5,128.72	Professional		$3,338.16	$4,459.52	$5,128.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.48 / $653.72 / $1,049.06	Facility		$403.48	$653.72	$1,049.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $455.07 / $697.45 / $1,474.00	Professional		$455.07	$697.45	$1,474.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,510.55 / $1,510.55 / $2,045.51	Professional		$1,510.55	$1,510.55	$2,045.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $483.70 / $621.66 / $854.79	Professional		$483.70	$621.66	$854.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.42 / $611.10 / $1,501.09	Professional		$471.42	$611.10	$1,501.09