Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $5,532.00 / $17,054.00	Facility		$1,482.00	$5,532.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.09 / $521.49 / $2,416.00	Professional		$437.09	$521.49	$2,416.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.96 / $682.81 / $1,337.66	Professional		$520.96	$682.81	$1,337.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,835.36	Facility		$66.00	$100.00	$5,835.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $320.27 / $495.19 / $1,211.47	Professional		$320.27	$495.19	$1,211.47
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 $454.36 / $598.83 / $1,825.26	Professional		$454.36	$598.83	$1,825.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $522.83 / $705.82	Professional		$205.14	$522.83	$705.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $601.25 / $1,078.29	Professional		$463.17	$601.25	$1,078.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,694.48 / $9,388.90 / $12,000.00	Facility		$1,694.48	$9,388.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,352.08 / $3,428.88 / $3,831.60	Professional		$3,352.08	$3,428.88	$3,831.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.55 / $590.79 / $837.71	Facility		$444.55	$590.79	$837.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.96 / $601.63 / $1,306.57	Professional		$461.96	$601.63	$1,306.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,499.07 / $1,499.07 / $1,499.07	Professional		$1,499.07	$1,499.07	$1,499.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $362.17 / $580.54	Professional		$205.14	$362.17	$580.54
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 $367.92 / $554.40 / $1,543.43	Professional		$367.92	$554.40	$1,543.43