Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.34 / $465.97 / $2,219.59	Professional		$409.34	$465.97	$2,219.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.00 / $4,505.00 / $9,119.00	Facility		$1,723.00	$4,505.00	$9,119.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.39 / $664.01 / $1,270.22	Professional		$448.39	$664.01	$1,270.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,826.58	Facility		$66.00	$100.00	$7,826.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.36 / $538.25 / $1,310.13	Professional		$346.36	$538.25	$1,310.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.11 / $471.68 / $1,111.23	Facility		$399.11	$471.68	$1,111.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.31 / $574.01 / $1,676.00	Professional		$436.31	$574.01	$1,676.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $442.95 / $581.41	Professional		$252.42	$442.95	$581.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.34 / $555.54 / $977.88	Professional		$427.34	$555.54	$977.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,560.60 / $2,111.33 / $26,542.00	Facility		$1,560.60	$2,111.33	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,301.51 / $3,410.46 / $3,532.88	Professional		$3,301.51	$3,410.46	$3,532.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $437.82 / $564.88 / $813.98	Facility		$437.82	$564.88	$813.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.88 / $593.41 / $1,258.77	Professional		$442.88	$593.41	$1,258.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,377.20 / $1,377.20 / $1,377.20	Professional		$1,377.20	$1,377.20	$1,377.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $252.42 / $429.11 / $538.03	Professional		$252.42	$429.11	$538.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,087.00 / $7,352.00 / $15,471.00	Facility		$3,087.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.09 / $543.36 / $1,479.06	Professional		$339.09	$543.36	$1,479.06