Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,218.00 / $17,380.00	Facility		$1,919.00	$6,218.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.38 / $367.41 / $1,489.51	Professional		$325.38	$367.41	$1,489.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.39 / $575.89 / $1,107.26	Professional		$439.39	$575.89	$1,107.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $269.35 / $419.41 / $1,018.85	Professional		$269.35	$419.41	$1,018.85
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 $354.50 / $465.32 / $1,319.08	Professional		$354.50	$465.32	$1,319.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $419.29 / $566.04 / $1,136.27	Professional		$419.29	$566.04	$1,136.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.37 / $482.18 / $851.84	Professional		$374.37	$482.18	$851.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,408.28 / $9,496.40 / $11,500.00	Facility		$2,408.28	$9,496.40	$11,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,793.67 / $2,793.67 / $3,142.20	Professional		$2,793.67	$2,793.67	$3,142.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.37 / $481.75 / $787.73	Facility		$374.37	$481.75	$787.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $356.83 / $479.39 / $1,037.96	Professional		$356.83	$479.39	$1,037.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,200.74 / $1,200.74 / $1,200.74	Professional		$1,200.74	$1,200.74	$1,200.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $377.64 / $465.30 / $1,287.76	Professional		$377.64	$465.30	$1,287.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,699.22 / $7,312.00 / $15,471.00	Facility		$2,699.22	$7,312.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.41 / $423.96 / $1,191.35	Professional		$298.41	$423.96	$1,191.35