Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.00 / $6,218.00 / $17,380.00	Facility		$1,539.00	$6,218.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.95 / $626.75 / $3,041.34	Professional		$554.95	$626.75	$3,041.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,830.00 / $19,252.00	Facility		$3,403.00	$9,830.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.16 / $874.67 / $1,681.72	Professional		$600.16	$874.67	$1,681.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $16,129.57	Facility		$66.00	$100.00	$16,129.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $424.52 / $640.04 / $1,581.89	Professional		$424.52	$640.04	$1,581.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,038.17 / $7,136.02 / $16,811.84	Facility		$6,038.17	$7,136.02	$16,811.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $577.67 / $757.30 / $2,306.17	Professional		$577.67	$757.30	$2,306.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $410.27 / $620.87 / $851.28	Professional		$410.27	$620.87	$851.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.52 / $726.84 / $1,294.84	Professional		$567.52	$726.84	$1,294.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,216.08 / $27,110.45	Facility		$55.00	$4,216.08	$27,110.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,170.80 / $4,265.28 / $4,748.33	Professional		$4,170.80	$4,265.28	$4,748.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $597.63 / $750.99 / $1,080.59	Facility		$597.63	$750.99	$1,080.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $577.67 / $757.30 / $1,630.05	Professional		$577.67	$757.30	$1,630.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,887.08 / $1,887.08 / $1,887.08	Professional		$1,887.08	$1,887.08	$1,887.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $410.27 / $572.70 / $738.49	Professional		$410.27	$572.70	$738.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,761.00 / $8,431.92	Facility		$1,407.00	$2,761.00	$8,431.92
United Facility/Professional Professional Modifier Low / Median / High Price $483.02 / $718.60 / $2,051.17	Professional		$483.02	$718.60	$2,051.17