Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,794.19 / $9,006.00 / $19,860.00	Facility		$1,794.19	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $307.80 / $1,619.84	Professional		$289.33	$307.80	$1,619.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,644.00 / $19,252.00	Facility		$3,403.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $379.06 / $524.70 / $958.58	Professional		$379.06	$524.70	$958.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,729.10	Facility		$66.00	$100.00	$11,729.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $230.78 / $348.72 / $864.83	Professional		$230.78	$348.72	$864.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.55 / $3,621.74 / $8,532.51	Facility		$3,064.55	$3,621.74	$8,532.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $405.84 / $1,158.45	Professional		$313.83	$405.84	$1,158.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $344.69 / $558.45 / $1,056.38	Professional		$344.69	$558.45	$1,056.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.22 / $396.61 / $705.10	Professional		$310.22	$396.61	$705.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,005.64 / $13,759.35 / $26,542.00	Facility		$2,005.64	$13,759.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,821.73 / $2,821.73 / $2,821.73	Professional		$2,821.73	$2,821.73	$2,821.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.50 / $428.85 / $724.12	Facility		$320.50	$428.85	$724.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.83 / $410.01 / $872.59	Professional		$313.83	$410.01	$872.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,005.07 / $1,005.07 / $1,005.07	Professional		$1,005.07	$1,005.07	$1,005.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $704.25 / $1,056.38	Professional		$313.02	$704.25	$1,056.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,137.24 / $9,713.00 / $21,278.00	Facility		$4,137.24	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.04 / $358.39 / $1,031.19	Professional		$250.04	$358.39	$1,031.19