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 $407.54 / $463.27 / $2,239.61	Professional		$407.54	$463.27	$2,239.61
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 $485.51 / $636.34 / $1,252.83	Professional		$485.51	$636.34	$1,252.83
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 $296.52 / $459.43 / $1,121.60	Professional		$296.52	$459.43	$1,121.60
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 $421.89 / $557.70 / $1,694.05	Professional		$421.89	$557.70	$1,694.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $487.69 / $658.38	Professional		$192.11	$487.69	$658.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $560.01 / $985.62	Professional		$431.04	$560.01	$985.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,575.52 / $9,388.90 / $16,394.00	Facility		$1,575.52	$9,388.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,115.04 / $3,183.68 / $3,565.28	Professional		$3,115.04	$3,183.68	$3,565.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.87 / $546.00 / $781.39	Facility		$414.87	$546.00	$781.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.04 / $562.22 / $1,212.71	Professional		$431.04	$562.22	$1,212.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,389.62 / $1,389.62 / $1,389.62	Professional		$1,389.62	$1,389.62	$1,389.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $192.11 / $339.17 / $541.53	Professional		$192.11	$339.17	$541.53
United Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $9,465.00 / $20,495.00	Facility		$4,884.00	$9,465.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.81 / $537.66 / $1,365.87	Professional		$352.81	$537.66	$1,365.87