Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,178.00 / $17,030.00	Facility		$1,335.00	$5,178.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.12 / $333.03 / $1,781.20	Professional		$287.12	$333.03	$1,781.20
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 $376.09 / $492.93 / $968.49	Professional		$376.09	$492.93	$968.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,509.60	Facility		$66.00	$100.00	$5,509.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $199.61 / $313.68 / $764.46	Professional		$199.61	$313.68	$764.46
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 $291.45 / $423.04 / $1,234.93	Professional		$291.45	$423.04	$1,234.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $423.25 / $571.39	Professional		$304.02	$423.25	$571.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.56 / $472.63 / $838.84	Professional		$363.56	$472.63	$838.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,642.70 / $9,496.40 / $12,000.00	Facility		$1,642.70	$9,496.40	$12,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,566.40 / $2,665.76 / $3,014.18	Professional		$2,566.40	$2,665.76	$3,014.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.97 / $451.33 / $678.13	Facility		$337.97	$451.33	$678.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.07 / $437.58 / $962.29	Professional		$302.07	$437.58	$962.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,105.20 / $1,105.20 / $1,105.20	Professional		$1,105.20	$1,105.20	$1,105.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $425.63 / $516.83	Professional		$304.02	$425.63	$516.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.68 / $387.20 / $1,359.66	Professional		$251.68	$387.20	$1,359.66