Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.72 / $6,880.00 / $18,681.00	Facility		$1,923.72	$6,880.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $401.72 / $1,483.00	Professional		$345.35	$401.72	$1,483.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.43 / $665.96 / $1,266.50	Professional		$491.43	$665.96	$1,266.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,208.49	Facility		$66.00	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.67 / $455.00 / $979.57	Professional		$295.67	$455.00	$979.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.95 / $461.94 / $1,143.69	Professional		$374.95	$461.94	$1,143.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $396.26 / $2,227.42	Professional		$272.52	$396.26	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.31 / $440.29 / $822.82	Professional		$355.31	$440.29	$822.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,400.37 / $9,011.04 / $26,542.00	Facility		$2,400.37	$9,011.04	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,608.23 / $2,673.28 / $3,161.48	Professional		$2,608.23	$2,673.28	$3,161.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.24 / $478.17 / $757.10	Facility		$365.24	$478.17	$757.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.01 / $459.29 / $1,057.44	Professional		$374.01	$459.29	$1,057.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,193.64 / $1,193.64 / $1,193.64	Professional		$1,193.64	$1,193.64	$1,193.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $381.53 / $515.51	Professional		$272.52	$381.53	$515.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.38 / $445.26 / $1,326.37	Professional		$314.38	$445.26	$1,326.37