Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,264.00 / $17,701.00	Facility		$2,020.00	$6,264.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.37 / $439.15 / $2,357.92	Professional		$388.37	$439.15	$2,357.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.65 / $686.34 / $1,319.60	Professional		$523.65	$686.34	$1,319.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,100.20	Facility		$66.00	$100.00	$7,100.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $461.31 / $1,119.38	Professional		$295.93	$461.31	$1,119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.01 / $566.11 / $1,565.74	Professional		$409.01	$566.11	$1,565.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $524.41 / $707.95	Professional		$229.54	$524.41	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.29 / $601.24 / $1,058.18	Professional		$463.29	$601.24	$1,058.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,119.25 / $9,496.40 / $16,394.00	Facility		$2,119.25	$9,496.40	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,302.88 / $3,411.44 / $3,875.55	Professional		$3,302.88	$3,411.44	$3,875.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $463.29 / $577.19 / $839.06	Facility		$463.29	$577.19	$839.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $425.34 / $595.15 / $1,260.94	Professional		$425.34	$595.15	$1,260.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,463.03 / $1,463.03 / $1,463.03	Professional		$1,463.03	$1,463.03	$1,463.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $229.54 / $413.16 / $582.07	Professional		$229.54	$413.16	$582.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,402.00 / $16,148.00	Facility		$3,610.00	$7,402.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $349.65 / $497.33 / $1,424.72	Professional		$349.65	$497.33	$1,424.72