Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,934.00 / $19,860.00	Facility		$2,421.00	$8,934.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.52 / $606.70 / $2,848.11	Professional		$534.52	$606.70	$2,848.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,241.00 / $18,708.00	Facility		$3,145.00	$9,241.00	$18,708.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.28 / $858.85 / $1,651.30	Professional		$655.28	$858.85	$1,651.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,343.07	Facility		$66.00	$100.00	$11,343.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $388.30 / $605.23 / $1,468.79	Professional		$388.30	$605.23	$1,468.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.16 / $709.32 / $1,979.90	Professional		$517.16	$709.32	$1,979.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $622.97 / $841.01	Professional		$378.00	$622.97	$841.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $554.96 / $716.42 / $1,263.79	Professional		$554.96	$716.42	$1,263.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,076.16 / $12,623.50 / $26,542.00	Facility		$4,076.16	$12,623.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,654.64 / $5,060.51 / $5,199.17	Professional		$4,654.64	$5,060.51	$5,199.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.40 / $747.56 / $1,101.88	Facility		$593.40	$747.56	$1,101.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.16 / $720.71 / $1,526.76	Professional		$517.16	$720.71	$1,526.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,767.19 / $1,767.19 / $1,767.19	Professional		$1,767.19	$1,767.19	$1,767.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $565.65 / $691.35	Professional		$378.00	$565.65	$691.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,384.00 / $16,148.00	Facility		$3,800.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.04 / $658.80 / $1,831.59	Professional		$439.04	$658.80	$1,831.59