Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,871.00 / $20,509.00	Facility		$3,089.46	$9,871.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.14 / $471.50 / $2,221.84	Professional		$404.14	$471.50	$2,221.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,309.00 / $15,328.00	Facility		$2,629.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.01 / $628.10 / $1,234.45	Professional		$484.01	$628.10	$1,234.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $279.30 / $432.03 / $1,056.47	Professional		$279.30	$432.03	$1,056.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $12,122.00 / $14,696.00	Facility		$3,613.43	$12,122.00	$14,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $564.03 / $1,688.09	Professional		$410.00	$564.03	$1,688.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $250.19 / $492.97 / $665.51	Professional		$250.19	$492.97	$665.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.97 / $566.30 / $1,015.40	Professional		$435.97	$566.30	$1,015.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,789.36 / $16,223.75 / $26,542.00	Facility		$2,789.36	$16,223.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,152.08 / $3,221.84 / $3,605.93	Professional		$3,152.08	$3,221.84	$3,605.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.02 / $587.63 / $916.08	Facility		$446.02	$587.63	$916.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.48 / $566.29 / $1,225.77	Professional		$425.48	$566.29	$1,225.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,405.39 / $1,405.39 / $1,405.39	Professional		$1,405.39	$1,405.39	$1,405.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $250.19 / $425.32 / $547.39	Professional		$250.19	$425.32	$547.39
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.36 / $494.80 / $1,598.41	Professional		$346.36	$494.80	$1,598.41