Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.23 / $551.82 / $2,865.39	Professional		$477.23	$551.82	$2,865.39
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 $547.12 / $742.25 / $1,556.41	Professional		$547.12	$742.25	$1,556.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $510.15 / $1,256.79	Professional		$330.06	$510.15	$1,256.79
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 $510.30 / $692.41 / $1,856.96	Professional		$510.30	$692.41	$1,856.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $390.54 / $620.65 / $837.88	Professional		$390.54	$620.65	$837.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.59 / $713.94 / $1,281.38	Professional		$558.59	$713.94	$1,281.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,655.12 / $9,558.29 / $26,542.00	Facility		$3,655.12	$9,558.29	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,963.60 / $4,045.76 / $4,836.00	Professional		$3,963.60	$4,045.76	$4,836.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $561.02 / $709.73 / $1,029.82	Facility		$561.02	$709.73	$1,029.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $505.84 / $707.32 / $1,563.76	Professional		$505.84	$707.32	$1,563.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,777.93 / $1,777.93 / $1,777.93	Professional		$1,777.93	$1,777.93	$1,777.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $390.54 / $585.80 / $738.76	Professional		$390.54	$585.80	$738.76
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 $440.72 / $642.40 / $1,847.96	Professional		$440.72	$642.40	$1,847.96