Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.21 / $425.27 / $2,072.17	Professional		$374.21	$425.27	$2,072.17
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 $444.56 / $582.66 / $1,144.52	Professional		$444.56	$582.66	$1,144.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $291.23 / $450.67 / $1,101.58	Professional		$291.23	$450.67	$1,101.58
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 $389.96 / $521.08 / $1,565.54	Professional		$389.96	$521.08	$1,565.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $270.66 / $450.41 / $608.04	Professional		$270.66	$450.41	$608.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $517.46 / $910.73	Professional		$398.43	$517.46	$910.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,456.88 / $9,388.90 / $16,394.00	Facility		$1,456.88	$9,388.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,297.90 / $4,691.53 / $4,846.35	Professional		$3,297.90	$4,691.53	$4,846.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.43 / $549.69 / $875.43	Facility		$398.43	$549.69	$875.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.69 / $529.33 / $1,120.65	Professional		$401.69	$529.33	$1,120.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,285.75 / $1,285.75 / $1,285.75	Professional		$1,285.75	$1,285.75	$1,285.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $270.66 / $409.19 / $511.99	Professional		$270.66	$409.19	$511.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $498.08 / $1,331.48	Professional		$316.95	$498.08	$1,331.48