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 $468.08 / $528.37 / $2,872.76	Professional		$468.08	$528.37	$2,872.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $698.36 / $1,569.44	Professional		$528.15	$698.36	$1,569.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,429.24	Facility		$66.00	$100.00	$6,429.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $372.90 / $590.35 / $1,427.14	Professional		$372.90	$590.35	$1,427.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.76 / $711.41 / $1,958.84	Professional		$523.76	$711.41	$1,958.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $665.68 / $898.67	Professional		$189.87	$665.68	$898.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.88 / $732.25 / $1,302.16	Professional		$559.88	$732.25	$1,302.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,005.88 / $7,909.30 / $12,000.00	Facility		$3,005.88	$7,909.30	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,641.26 / $4,641.26 / $4,641.26	Professional		$4,641.26	$4,641.26	$4,641.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $550.97 / $716.26 / $1,226.93	Facility		$550.97	$716.26	$1,226.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.70 / $739.58 / $1,610.35	Professional		$523.70	$739.58	$1,610.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,782.49 / $1,782.49 / $1,782.49	Professional		$1,782.49	$1,782.49	$1,782.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $189.87 / $335.22 / $739.56	Professional		$189.87	$335.22	$739.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,341.00 / $26,672.00	Facility		$5,416.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.04 / $617.80 / $1,702.75	Professional		$432.04	$617.80	$1,702.75