Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.00 / $471.86 / $2,387.11	Professional		$421.00	$471.86	$2,387.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,718.00 / $9,381.00	Facility		$1,759.00	$4,718.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.77 / $680.81 / $1,336.50	Professional		$517.77	$680.81	$1,336.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,770.07	Facility		$66.00	$100.00	$5,770.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $329.82 / $509.96 / $1,247.56	Professional		$329.82	$509.96	$1,247.56
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 $452.25 / $595.53 / $1,800.50	Professional		$452.25	$595.53	$1,800.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $514.78 / $694.95	Professional		$337.30	$514.78	$694.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.86 / $592.00 / $1,057.58	Professional		$456.86	$592.00	$1,057.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,672.64 / $9,388.90 / $12,000.00	Facility		$1,672.64	$9,388.90	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,308.72 / $3,384.32 / $3,781.13	Professional		$3,308.72	$3,384.32	$3,781.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.70 / $639.48 / $899.87	Facility		$472.70	$639.48	$899.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $464.20 / $605.86 / $1,291.20	Professional		$464.20	$605.86	$1,291.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,481.14 / $1,481.14 / $1,481.14	Professional		$1,481.14	$1,481.14	$1,481.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $505.96 / $638.04	Professional		$337.30	$505.96	$638.04
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 $376.78 / $551.77 / $1,524.45	Professional		$376.78	$551.77	$1,524.45