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 $400.10 / $458.94 / $2,091.80	Professional		$400.10	$458.94	$2,091.80
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 $421.78 / $599.16 / $1,162.92	Professional		$421.78	$599.16	$1,162.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,182.43	Facility		$66.00	$100.00	$7,182.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.10 / $423.41 / $1,033.01	Professional		$273.10	$423.41	$1,033.01
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 $389.09 / $526.16 / $1,599.08	Professional		$389.09	$526.16	$1,599.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $439.31 / $502.88 / $831.02	Professional		$439.31	$502.88	$831.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $524.40 / $922.94	Professional		$403.45	$524.40	$922.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,473.84 / $9,388.90 / $16,394.00	Facility		$1,473.84	$9,388.90	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,956.60 / $4,956.60 / $4,956.60	Professional		$4,956.60	$4,956.60	$4,956.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $430.88 / $545.38 / $760.65	Facility		$430.88	$545.38	$760.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $393.43 / $527.61 / $1,131.05	Professional		$393.43	$527.61	$1,131.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,297.93 / $1,297.93 / $1,297.93	Professional		$1,297.93	$1,297.93	$1,297.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $415.33 / $554.01 / $831.02	Professional		$415.33	$554.01	$831.02
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 $331.18 / $501.64 / $1,394.76	Professional		$331.18	$501.64	$1,394.76