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 $389.70 / $442.07 / $2,160.17	Professional		$389.70	$442.07	$2,160.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $465.36 / $612.34 / $1,178.25	Professional		$465.36	$612.34	$1,178.25
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 $281.38 / $436.56 / $1,064.33	Professional		$281.38	$436.56	$1,064.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.10 / $545.89 / $1,621.25	Professional		$406.10	$545.89	$1,621.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $472.25 / $638.05	Professional		$337.30	$472.25	$638.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.34 / $541.24 / $952.82	Professional		$416.34	$541.24	$952.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,660.28 / $6,817.20 / $12,000.00	Facility		$2,660.28	$6,817.20	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,221.00 / $6,221.00 / $6,221.00	Professional		$6,221.00	$6,221.00	$6,221.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $433.11 / $566.88 / $775.20	Facility		$433.11	$566.88	$775.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $413.73 / $551.01 / $1,168.54	Professional		$413.73	$551.01	$1,168.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,340.34 / $1,340.34 / $1,340.34	Professional		$1,340.34	$1,340.34	$1,340.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $505.96 / $638.04	Professional		$337.30	$505.96	$638.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $4,038.00 / $9,131.00	Facility		$2,048.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.40 / $523.22 / $1,439.98	Professional		$340.40	$523.22	$1,439.98