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 $425.85 / $476.92 / $1,731.28	Professional		$425.85	$476.92	$1,731.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $525.23 / $688.41 / $1,382.15	Professional		$525.23	$688.41	$1,382.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,010.49	Facility		$66.00	$100.00	$7,010.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $317.36 / $497.68 / $1,200.43	Professional		$317.36	$497.68	$1,200.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.61 / $609.40 / $1,663.72	Professional		$455.61	$609.40	$1,663.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $213.95 / $568.61 / $1,685.12	Professional		$213.95	$568.61	$1,685.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.05 / $653.90 / $1,151.13	Professional		$506.05	$653.90	$1,151.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,794.68 / $6,817.20 / $16,394.00	Facility		$2,794.68	$6,817.20	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.88 / $3,621.52 / $4,316.63	Professional		$3,548.88	$3,621.52	$4,316.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $428.97 / $615.64 / $873.15	Facility		$428.97	$615.64	$873.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $456.27 / $637.30 / $1,375.84	Professional		$456.27	$637.30	$1,375.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,574.59 / $1,574.59 / $1,574.59	Professional		$1,574.59	$1,574.59	$1,574.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $213.95 / $385.11 / $630.63	Professional		$213.95	$385.11	$630.63
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.15 / $548.71 / $1,641.06	Professional		$372.15	$548.71	$1,641.06