Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.15 / $605.25 / $2,951.65	Professional		$537.15	$605.25	$2,951.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.20 / $905.32 / $1,726.51	Professional		$588.20	$905.32	$1,726.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $411.30 / $617.64 / $1,531.55	Professional		$411.30	$617.64	$1,531.55
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 $556.96 / $734.47 / $2,235.48	Professional		$556.96	$734.47	$2,235.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $605.94 / $818.02	Professional		$253.16	$605.94	$818.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.35 / $700.15 / $1,250.55	Professional		$545.35	$700.15	$1,250.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,095.84 / $27,110.45	Facility		$55.00	$4,095.84	$27,110.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,049.52 / $4,139.04 / $4,608.75	Professional		$4,049.52	$4,139.04	$4,608.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.04 / $727.13 / $1,111.47	Facility		$556.04	$727.13	$1,111.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $556.96 / $734.47 / $1,584.21	Professional		$556.96	$734.47	$1,584.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,831.43 / $1,831.43 / $1,831.43	Professional		$1,831.43	$1,831.43	$1,831.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $446.96 / $672.51	Professional		$253.16	$446.96	$672.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,213.00 / $9,131.00	Facility		$2,048.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $455.56 / $705.00 / $1,874.26	Professional		$455.56	$705.00	$1,874.26