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 $353.11 / $398.12 / $1,940.95	Professional		$353.11	$398.12	$1,940.95
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 $386.25 / $586.29 / $1,122.60	Professional		$386.25	$586.29	$1,122.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,487.90	Facility		$66.00	$100.00	$5,487.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $407.89 / $1,010.50	Professional		$271.26	$407.89	$1,010.50
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 $366.71 / $484.39 / $1,469.46	Professional		$366.71	$484.39	$1,469.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $400.55 / $540.74	Professional		$164.93	$400.55	$540.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.50 / $462.24 / $824.98	Professional		$360.50	$462.24	$824.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,358.51 / $9,388.90 / $12,000.00	Facility		$2,358.51	$9,388.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,666.32 / $2,725.60 / $3,033.45	Professional		$2,666.32	$2,725.60	$3,033.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.15 / $464.49 / $689.96	Facility		$355.15	$464.49	$689.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.71 / $484.39 / $1,040.89	Professional		$366.71	$484.39	$1,040.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,204.33 / $1,204.33 / $1,204.33	Professional		$1,204.33	$1,204.33	$1,204.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $164.93 / $291.18 / $444.58	Professional		$164.93	$291.18	$444.58
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 $308.00 / $459.67 / $1,233.11	Professional		$308.00	$459.67	$1,233.11