Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.44 / $463.56 / $2,478.00	Professional		$424.44	$463.56	$2,478.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.76 / $690.65 / $1,355.22	Professional		$517.76	$690.65	$1,355.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,121.41	Facility		$66.00	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $342.22 / $539.44 / $1,310.71	Professional		$342.22	$539.44	$1,310.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.94 / $604.27 / $1,722.27	Professional		$437.94	$604.27	$1,722.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $333.21 / $603.33 / $814.50	Professional		$333.21	$603.33	$814.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.86 / $663.66 / $1,173.46	Professional		$502.86	$663.66	$1,173.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,688.42 / $3,728.65 / $16,394.00	Facility		$2,688.42	$3,728.65	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,066.00 / $4,066.00 / $4,117.28	Professional		$4,066.00	$4,066.00	$4,117.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.51 / $628.98 / $881.61	Facility		$486.51	$628.98	$881.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.31 / $644.89 / $1,386.59	Professional		$459.31	$644.89	$1,386.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,537.53 / $1,537.53 / $1,537.53	Professional		$1,537.53	$1,537.53	$1,537.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $333.21 / $546.26 / $670.41	Professional		$333.21	$546.26	$670.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,212.00 / $4,218.00 / $10,979.00	Facility		$2,212.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $359.52 / $517.53 / $1,497.41	Professional		$359.52	$517.53	$1,497.41