Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,218.00 / $17,380.00	Facility		$2,020.00	$6,218.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $491.05 / $2,384.92	Professional		$446.56	$491.05	$2,384.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.98 / $672.19 / $1,313.14	Professional		$517.98	$672.19	$1,313.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,506.48	Facility		$66.00	$100.00	$7,506.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $317.67 / $491.55 / $1,201.59	Professional		$317.67	$491.55	$1,201.59
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 $452.44 / $593.89 / $1,802.46	Professional		$452.44	$593.89	$1,802.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $326.88 / $516.63 / $697.45	Professional		$326.88	$516.63	$697.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.53 / $594.03 / $1,045.48	Professional		$457.53	$594.03	$1,045.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,673.64 / $9,388.90 / $16,394.00	Facility		$1,673.64	$9,388.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,505.85 / $4,505.85 / $4,505.85	Professional		$4,505.85	$4,505.85	$4,505.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $483.35 / $628.32 / $957.00	Facility		$483.35	$628.32	$957.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.53 / $600.27 / $1,288.81	Professional		$457.53	$600.27	$1,288.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.79 / $1,479.79 / $1,479.79	Professional		$1,479.79	$1,479.79	$1,479.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $326.88 / $469.35 / $573.65	Professional		$326.88	$469.35	$573.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,197.00 / $9,604.00 / $20,495.00	Facility		$5,197.00	$9,604.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.84 / $558.36 / $1,591.42	Professional		$364.84	$558.36	$1,591.42