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 $344.55 / $392.88 / $2,109.23	Professional		$344.55	$392.88	$2,109.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $10,536.00	Facility		$1,787.00	$4,814.00	$10,536.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.60 / $638.29 / $1,244.58	Professional		$428.60	$638.29	$1,244.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,182.43	Facility		$66.00	$100.00	$7,182.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $424.71 / $946.34	Professional		$275.81	$424.71	$946.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,468.26 / $2,468.26 / $2,917.04	Facility		$2,468.26	$2,468.26	$2,917.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.96 / $470.75 / $1,169.70	Professional		$350.96	$470.75	$1,169.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $269.92 / $471.00 / $2,739.37	Professional		$269.92	$471.00	$2,739.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.02 / $510.65 / $953.14	Professional		$405.02	$510.65	$953.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,197.60 / $13,044.60 / $16,394.00	Facility		$6,197.60	$13,044.60	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,970.50 / $3,008.80 / $3,590.10	Professional		$2,970.50	$3,008.80	$3,590.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.54 / $531.41 / $759.76	Facility		$425.54	$531.41	$759.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.96 / $470.75 / $1,104.26	Professional		$350.96	$470.75	$1,104.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,308.74 / $1,308.74 / $1,308.74	Professional		$1,308.74	$1,308.74	$1,308.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $269.92 / $421.63 / $522.34	Professional		$269.92	$421.63	$522.34
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $447.68 / $1,188.28	Professional		$329.00	$447.68	$1,188.28