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 $450.59 / $507.83 / $2,475.51	Professional		$450.59	$507.83	$2,475.51
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 $548.08 / $758.66 / $1,442.27	Professional		$548.08	$758.66	$1,442.27
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 $363.50 / $555.04 / $1,359.67	Professional		$363.50	$555.04	$1,359.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.56 / $616.46 / $1,874.88	Professional		$466.56	$616.46	$1,874.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $509.24 / $687.47	Professional		$210.72	$509.24	$687.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.32 / $587.98 / $1,050.30	Professional		$458.32	$587.98	$1,050.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,007.90 / $12,000.00 / $14,302.50	Facility		$3,007.90	$12,000.00	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,398.48 / $3,476.56 / $3,868.88	Professional		$3,398.48	$3,476.56	$3,868.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $452.61 / $591.04 / $878.79	Facility		$452.61	$591.04	$878.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.56 / $616.46 / $1,328.13	Professional		$466.56	$616.46	$1,328.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,536.01 / $1,536.01 / $1,536.01	Professional		$1,536.01	$1,536.01	$1,536.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $210.72 / $372.03 / $565.19	Professional		$210.72	$372.03	$565.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,218.00 / $9,131.00	Facility		$2,048.00	$4,218.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.81 / $593.66 / $1,701.79	Professional		$393.81	$593.66	$1,701.79