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 $533.00 / $573.08 / $3,097.66	Professional		$533.00	$573.08	$3,097.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.42 / $878.46 / $1,684.12	Professional		$665.42	$878.46	$1,684.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,359.13	Facility		$66.00	$100.00	$7,359.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $411.97 / $647.02 / $1,571.95	Professional		$411.97	$647.02	$1,571.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,371.89 / $5,587.97	Facility		$2,006.98	$2,371.89	$5,587.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.86 / $765.81 / $2,094.29	Professional		$547.86	$765.81	$2,094.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $717.87 / $969.12	Professional		$421.82	$717.87	$969.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.30 / $798.60 / $1,419.92	Professional		$614.30	$798.60	$1,419.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,323.58 / $9,011.04 / $16,394.00	Facility		$3,323.58	$9,011.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,350.00 / $4,509.92 / $5,067.68	Professional		$4,350.00	$4,509.92	$5,067.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.27 / $783.65 / $1,159.79	Facility		$633.27	$783.65	$1,159.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.62 / $803.58 / $1,730.53	Professional		$566.62	$803.58	$1,730.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,922.02 / $1,922.02 / $1,922.02	Professional		$1,922.02	$1,922.02	$1,922.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $652.38 / $797.92	Professional		$421.82	$652.38	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,699.00 / $21,278.00	Facility		$4,110.00	$9,699.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.81 / $687.57 / $2,010.33	Professional		$465.81	$687.57	$2,010.33