Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,858.00 / $19,011.00	Facility		$1,956.72	$7,858.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.83 / $477.83 / $1,817.68	Professional		$408.83	$477.83	$1,817.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.36 / $638.24 / $1,243.65	Professional		$490.36	$638.24	$1,243.65
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 $280.25 / $433.34 / $1,060.07	Professional		$280.25	$433.34	$1,060.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,006.10 / $4,734.47 / $11,154.02	Facility		$4,006.10	$4,734.47	$11,154.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.53 / $565.98 / $1,707.73	Professional		$416.53	$565.98	$1,707.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $353.69 / $494.00 / $669.05	Professional		$353.69	$494.00	$669.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.71 / $567.34 / $1,017.22	Professional		$436.71	$567.34	$1,017.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,793.56 / $17,986.75 / $26,542.00	Facility		$2,793.56	$17,986.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,156.64 / $3,226.56 / $3,611.85	Professional		$3,156.64	$3,226.56	$3,611.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.86 / $590.03 / $907.50	Facility		$446.86	$590.03	$907.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.76 / $567.36 / $1,229.92	Professional		$427.76	$567.36	$1,229.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,410.25 / $1,410.25 / $1,410.25	Professional		$1,410.25	$1,410.25	$1,410.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.69 / $530.53 / $669.04	Professional		$353.69	$530.53	$669.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,713.00 / $21,278.00	Facility		$4,110.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.48 / $508.81 / $1,515.68	Professional		$347.48	$508.81	$1,515.68