Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.93 / $6,229.00 / $17,380.00	Facility		$1,498.93	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.02 / $280.11 / $1,118.63	Professional		$257.02	$280.11	$1,118.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.93 / $436.80 / $1,252.79	Professional		$302.93	$436.80	$1,252.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,482.83	Facility		$66.00	$100.00	$7,482.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.59 / $320.48 / $740.46	Professional		$223.59	$320.48	$740.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,502.85 / $5,321.55 / $12,537.11	Facility		$4,502.85	$5,321.55	$12,537.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.58 / $387.44 / $1,451.08	Professional		$266.58	$387.44	$1,451.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $276.74 / $373.60	Professional		$220.77	$276.74	$373.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.65 / $325.61 / $584.67	Professional		$249.65	$325.61	$584.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $942.00 / $16,394.00 / $20,217.09	Facility		$942.00	$16,394.00	$20,217.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,676.43 / $7,906.73 / $7,906.73	Professional		$7,676.43	$7,906.73	$7,906.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.76 / $373.08 / $1,041.35	Facility		$280.76	$373.08	$1,041.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.38 / $400.04 / $1,451.08	Professional		$267.38	$400.04	$1,451.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $852.00 / $852.00	Professional		$852.00	$852.00	$852.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $307.13 / $375.32	Professional		$220.77	$307.13	$375.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,341.00 / $26,451.00	Facility		$5,835.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $345.75 / $1,093.93	Professional		$219.14	$345.75	$1,093.93