Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.80 / $6,695.00 / $17,902.00	Facility		$2,153.80	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.68 / $425.90 / $2,153.80	Professional		$386.68	$425.90	$2,153.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.57 / $605.40 / $1,181.31	Professional		$463.57	$605.40	$1,181.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $279.52 / $432.78 / $1,057.32	Professional		$279.52	$432.78	$1,057.32
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 $396.61 / $529.70 / $1,624.73	Professional		$396.61	$529.70	$1,624.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $327.62 / $472.44 / $637.79	Professional		$327.62	$472.44	$637.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.14 / $540.98 / $966.38	Professional		$416.14	$540.98	$966.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,518.92 / $9,388.90 / $26,542.00	Facility		$1,518.92	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,341.83 / $3,341.83 / $3,440.93	Professional		$3,341.83	$3,341.83	$3,440.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.62 / $566.92 / $816.53	Facility		$426.62	$566.92	$816.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $536.35 / $1,168.19	Professional		$402.96	$536.35	$1,168.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,336.39 / $1,336.39 / $1,336.39	Professional		$1,336.39	$1,336.39	$1,336.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $327.62 / $491.44 / $619.74	Professional		$327.62	$491.44	$619.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $472.73 / $1,435.07	Professional		$326.52	$472.73	$1,435.07