Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,902.00	Facility		$1,820.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.22 / $377.52 / $1,802.91	Professional		$334.22	$377.52	$1,802.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.49 / $546.32 / $1,053.57	Professional		$363.49	$546.32	$1,053.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.94 / $379.34 / $938.66	Professional		$251.94	$379.34	$938.66
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 $356.04 / $456.34 / $1,364.78	Professional		$356.04	$456.34	$1,364.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $410.63 / $637.35	Professional		$336.93	$410.63	$637.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.97 / $430.60 / $767.98	Professional		$335.97	$430.60	$767.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,253.16 / $9,388.90 / $26,542.00	Facility		$1,253.16	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,137.10 / $3,137.10 / $3,137.10	Professional		$3,137.10	$3,137.10	$3,137.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.93 / $489.68 / $804.05	Facility		$372.93	$489.68	$804.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.39 / $460.39 / $1,028.35	Professional		$358.39	$460.39	$1,028.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,118.66 / $1,118.66 / $1,118.66	Professional		$1,118.66	$1,118.66	$1,118.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $336.93 / $424.90 / $637.35	Professional		$336.93	$424.90	$637.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $436.92 / $1,146.10	Professional		$287.68	$436.92	$1,146.10