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 $456.39 / $496.56 / $2,638.55	Professional		$456.39	$496.56	$2,638.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.70 / $751.37 / $1,440.46	Professional		$564.70	$751.37	$1,440.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,646.91	Facility		$66.00	$100.00	$7,646.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $546.02 / $1,326.73	Professional		$346.40	$546.02	$1,326.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.15 / $643.66 / $1,818.24	Professional		$461.15	$643.66	$1,818.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $409.53 / $631.80 / $852.94	Professional		$409.53	$631.80	$852.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.26 / $694.99 / $1,235.67	Professional		$531.26	$694.99	$1,235.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,851.98 / $16,394.00 / $16,547.20	Facility		$2,851.98	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,832.27 / $6,832.27 / $6,832.27	Professional		$6,832.27	$6,832.27	$6,832.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $522.78 / $674.00 / $1,010.90	Facility		$522.78	$674.00	$1,010.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $682.06 / $1,479.81	Professional		$482.93	$682.06	$1,479.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,637.16 / $1,637.16 / $1,637.16	Professional		$1,637.16	$1,637.16	$1,637.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $409.53 / $614.29 / $774.68	Professional		$409.53	$614.29	$774.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $386.11 / $576.95 / $1,771.55	Professional		$386.11	$576.95	$1,771.55