Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,830.00 / $18,681.00	Facility		$2,197.85	$7,830.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.34 / $544.33 / $2,597.21	Professional		$467.34	$544.33	$2,597.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $561.17 / $733.91 / $1,429.63	Professional		$561.17	$733.91	$1,429.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $504.16 / $1,234.83	Professional		$326.45	$504.16	$1,234.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,128.87 / $2,515.92 / $5,927.32	Facility		$2,128.87	$2,515.92	$5,927.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.15 / $644.05 / $1,956.71	Professional		$474.15	$644.05	$1,956.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $559.89 / $755.85	Professional		$328.74	$559.89	$755.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.25 / $643.87 / $1,150.57	Professional		$497.25	$643.87	$1,150.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,276.55 / $9,558.29 / $26,542.00	Facility		$2,276.55	$9,558.29	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,118.63 / $4,194.54 / $4,194.54	Professional		$4,118.63	$4,194.54	$4,194.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $507.77 / $670.72 / $977.43	Facility		$507.77	$670.72	$977.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $488.65 / $645.07 / $1,403.87	Professional		$488.65	$645.07	$1,403.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,611.53 / $1,611.53 / $1,611.53	Professional		$1,611.53	$1,611.53	$1,611.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $328.74 / $508.63 / $621.85	Professional		$328.74	$508.63	$621.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $9,465.00 / $20,495.00	Facility		$4,884.00	$9,465.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.60 / $589.72 / $1,658.68	Professional		$397.60	$589.72	$1,658.68