Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,134.00 / $6,342.00 / $17,701.00	Facility		$2,134.00	$6,342.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.99 / $602.54 / $2,942.08	Professional		$385.99	$602.54	$2,942.08
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 $638.62 / $828.73 / $1,622.77	Professional		$638.62	$828.73	$1,622.77
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 $389.59 / $602.24 / $1,473.66	Professional		$389.59	$602.24	$1,473.66
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 $545.32 / $727.73 / $2,214.96	Professional		$545.32	$727.73	$2,214.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $637.51 / $860.64	Professional		$253.16	$637.51	$860.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.44 / $733.14 / $1,291.31	Professional		$565.44	$733.14	$1,291.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,069.84 / $14,302.50 / $16,394.00	Facility		$2,069.84	$14,302.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,091.04 / $4,183.20 / $4,682.10	Professional		$4,091.04	$4,183.20	$4,682.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $565.44 / $711.41 / $1,021.50	Facility		$565.44	$711.41	$1,021.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $552.19 / $732.63 / $1,592.65	Professional		$552.19	$732.63	$1,592.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,825.50 / $1,825.50 / $1,825.50	Professional		$1,825.50	$1,825.50	$1,825.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $253.16 / $446.96 / $707.85	Professional		$253.16	$446.96	$707.85
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 $450.24 / $703.98 / $2,230.21	Professional		$450.24	$703.98	$2,230.21