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 $445.74 / $497.02 / $2,325.41	Professional		$445.74	$497.02	$2,325.41
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 $498.30 / $876.53 / $1,601.25	Professional		$498.30	$876.53	$1,601.25
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 $378.05 / $581.46 / $1,273.15	Professional		$378.05	$581.46	$1,273.15
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 $469.55 / $579.17 / $1,439.51	Professional		$469.55	$579.17	$1,439.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $468.24 / $521.22 / $2,227.42	Professional		$468.24	$521.22	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.42 / $535.76 / $990.59	Professional		$421.42	$535.76	$990.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.44 / $9,011.04 / $16,394.00	Facility		$1,689.44	$9,011.04	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,184.72 / $3,260.16 / $3,898.35	Professional		$3,184.72	$3,260.16	$3,898.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $454.50 / $622.12 / $881.79	Facility		$454.50	$622.12	$881.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.55 / $579.66 / $1,327.62	Professional		$469.55	$579.66	$1,327.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,442.87 / $1,442.87 / $1,442.87	Professional		$1,442.87	$1,442.87	$1,442.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $436.64 / $657.30 / $985.95	Professional		$436.64	$657.30	$985.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,004.21 / $9,758.00 / $22,073.00	Facility		$5,004.21	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.41 / $571.47 / $1,232.04	Professional		$385.41	$571.47	$1,232.04