Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,314.00 / $17,380.00	Facility		$2,020.00	$6,314.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.29 / $527.17 / $2,562.41	Professional		$464.29	$527.17	$2,562.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.73 / $725.07 / $1,421.46	Professional		$558.73	$725.07	$1,421.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $525.44 / $1,286.51	Professional		$340.12	$525.44	$1,286.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.55 / $635.91 / $1,934.87	Professional		$482.55	$635.91	$1,934.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $554.47 / $765.53	Professional		$404.69	$554.47	$765.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.04 / $637.64 / $1,123.45	Professional		$492.04	$637.64	$1,123.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,801.60 / $14,302.50 / $16,394.00	Facility		$1,801.60	$14,302.50	$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 $520.23 / $671.60 / $965.98	Facility		$520.23	$671.60	$965.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $487.00 / $638.08 / $1,385.78	Professional		$487.00	$638.08	$1,385.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,589.91 / $1,589.91 / $1,589.91	Professional		$1,589.91	$1,589.91	$1,589.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $607.04 / $765.52	Professional		$404.69	$607.04	$765.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $404.20 / $615.91 / $1,709.87	Professional		$404.20	$615.91	$1,709.87