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 $443.67 / $500.01 / $2,441.69	Professional		$443.67	$500.01	$2,441.69
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 $539.26 / $734.42 / $1,411.39	Professional		$539.26	$734.42	$1,411.39
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 $358.85 / $547.88 / $1,342.27	Professional		$358.85	$547.88	$1,342.27
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 $460.11 / $607.97 / $1,849.28	Professional		$460.11	$607.97	$1,849.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $502.54 / $678.43	Professional		$208.49	$502.54	$678.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.29 / $580.20 / $1,036.29	Professional		$452.29	$580.20	$1,036.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,966.95 / $12,000.00 / $14,302.50	Facility		$2,966.95	$12,000.00	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,352.80 / $3,428.32 / $3,815.93	Professional		$3,352.80	$3,428.32	$3,815.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $583.19 / $866.04	Facility		$450.00	$583.19	$866.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $460.11 / $607.97 / $1,310.59	Professional		$460.11	$607.97	$1,310.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,515.02 / $1,515.02 / $1,515.02	Professional		$1,515.02	$1,515.02	$1,515.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $368.09 / $557.77	Professional		$208.49	$368.09	$557.77
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 $376.88 / $564.50 / $1,478.02	Professional		$376.88	$564.50	$1,478.02