Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,545.00 / $17,054.00	Facility		$1,335.00	$5,545.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.76 / $607.13 / $2,959.12	Professional		$538.76	$607.13	$2,959.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.48 / $874.31 / $1,693.28	Professional		$589.48	$874.31	$1,693.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,367.09	Facility		$66.00	$100.00	$5,367.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $412.34 / $619.23 / $1,535.37	Professional		$412.34	$619.23	$1,535.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.64 / $736.33 / $2,241.13	Professional		$558.64	$736.33	$2,241.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $607.45 / $820.06	Professional		$252.42	$607.45	$820.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.71 / $701.90 / $1,253.63	Professional		$546.71	$701.90	$1,253.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,105.60 / $9,388.90	Facility		$55.00	$4,105.60	$9,388.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,059.68 / $4,150.80 / $4,619.33	Professional		$4,059.68	$4,150.80	$4,619.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $557.41 / $728.94 / $1,120.18	Facility		$557.41	$728.94	$1,120.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.64 / $736.33 / $1,588.10	Professional		$558.64	$736.33	$1,588.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,836.08 / $1,836.08 / $1,836.08	Professional		$1,836.08	$1,836.08	$1,836.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $445.65 / $674.19	Professional		$252.42	$445.65	$674.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,046.00 / $2,699.00 / $7,655.00	Facility		$1,046.00	$2,699.00	$7,655.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.40 / $708.36 / $1,847.54	Professional		$470.40	$708.36	$1,847.54