Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.17 / $6,218.00 / $17,380.00	Facility		$1,971.17	$6,218.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.16 / $682.90 / $3,331.47	Professional		$602.16	$682.90	$3,331.47
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 $725.80 / $944.93 / $1,850.66	Professional		$725.80	$944.93	$1,850.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,374.24	Facility		$66.00	$100.00	$7,374.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $452.93 / $700.24 / $1,713.23	Professional		$452.93	$700.24	$1,713.23
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 $622.88 / $825.00 / $2,511.07	Professional		$622.88	$825.00	$2,511.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $717.12 / $997.22	Professional		$527.17	$717.12	$997.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.55 / $824.69 / $1,456.27	Professional		$638.55	$824.69	$1,456.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,341.40 / $14,302.50 / $16,394.00	Facility		$2,341.40	$14,302.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,631.92 / $5,631.92 / $5,631.92	Professional		$5,631.92	$5,631.92	$5,631.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.56 / $868.57 / $1,308.15	Facility		$676.56	$868.57	$1,308.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $635.59 / $828.51 / $1,801.21	Professional		$635.59	$828.51	$1,801.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,067.10 / $2,067.10 / $2,067.10	Professional		$2,067.10	$2,067.10	$2,067.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $527.17 / $790.77 / $997.22	Professional		$527.17	$790.77	$997.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,163.00 / $16,148.00	Facility		$3,698.00	$7,163.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.44 / $782.91 / $1,866.53	Professional		$510.44	$782.91	$1,866.53