Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,155.64 / $6,695.00 / $17,902.00	Facility		$2,155.64	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $427.92 / $2,155.64	Professional		$382.30	$427.92	$2,155.64
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 $608.14 / $737.66 / $1,410.79	Professional		$608.14	$737.66	$1,410.79
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 $295.92 / $450.72 / $1,004.29	Professional		$295.92	$450.72	$1,004.29
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 $402.36 / $513.03 / $1,269.30	Professional		$402.36	$513.03	$1,269.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.79 / $427.25 / $2,227.42	Professional		$338.79	$427.25	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.60 / $459.86 / $851.82	Professional		$363.60	$459.86	$851.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,447.12 / $9,011.04 / $26,542.00	Facility		$1,447.12	$9,011.04	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,416.61 / $3,416.61 / $3,416.61	Professional		$3,416.61	$3,416.61	$3,416.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.19 / $506.80 / $723.13	Facility		$387.19	$506.80	$723.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $511.28 / $1,173.44	Professional		$402.30	$511.28	$1,173.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,337.54 / $1,337.54 / $1,337.54	Professional		$1,337.54	$1,337.54	$1,337.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.79 / $447.46 / $640.87	Professional		$338.79	$447.46	$640.87
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 $353.80 / $493.55 / $1,183.32	Professional		$353.80	$493.55	$1,183.32