Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,357.00 / $17,902.00	Facility		$2,197.85	$8,357.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.33 / $368.56 / $1,411.52	Professional		$326.33	$368.56	$1,411.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,311.00 / $15,399.00	Facility		$2,629.00	$7,311.00	$15,399.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.73 / $621.07 / $1,242.29	Professional		$430.73	$621.07	$1,242.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,968.67	Facility		$66.70	$100.00	$8,968.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $268.01 / $417.26 / $1,013.76	Professional		$268.01	$417.26	$1,013.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $11,684.00 / $14,696.00	Facility		$3,613.43	$11,684.00	$14,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.22 / $467.16 / $1,328.93	Professional		$358.22	$467.16	$1,328.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $420.21 / $445.92 / $668.88	Professional		$420.21	$445.92	$668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.08 / $483.24 / $853.56	Professional		$375.08	$483.24	$853.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,412.55 / $16,223.75 / $26,542.00	Facility		$2,412.55	$16,223.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,806.88 / $2,806.88 / $3,147.90	Professional		$2,806.88	$2,806.88	$3,147.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $381.08 / $492.27 / $831.58	Facility		$381.08	$492.27	$831.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.22 / $480.35 / $1,038.94	Professional		$358.22	$480.35	$1,038.94
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,321.00 / $8,321.00 / $8,321.00	Facility		$8,321.00	$8,321.00	$8,321.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,201.94 / $1,201.94 / $1,201.94	Professional		$1,201.94	$1,201.94	$1,201.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $378.39 / $466.32 / $758.06	Professional		$378.39	$466.32	$758.06
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.76 / $426.80 / $1,325.25	Professional		$298.76	$426.80	$1,325.25