Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,384.00 / $19,368.00	Facility		$2,616.00	$9,384.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $478.16 / $1,961.00	Professional		$432.63	$478.16	$1,961.00
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 $543.03 / $706.97 / $1,438.76	Professional		$543.03	$706.97	$1,438.76
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 $330.56 / $517.07 / $1,252.20	Professional		$330.56	$517.07	$1,252.20
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 $450.89 / $632.78 / $1,808.52	Professional		$450.89	$632.78	$1,808.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $610.08 / $823.61	Professional		$304.02	$610.08	$823.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $700.68 / $1,233.19	Professional		$541.09	$700.68	$1,233.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,997.28 / $9,496.40 / $26,542.00	Facility		$1,997.28	$9,496.40	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,770.32 / $3,909.60 / $4,655.25	Professional		$3,770.32	$3,909.60	$4,655.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $502.07 / $651.20 / $940.05	Facility		$502.07	$651.20	$940.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.31 / $670.88 / $1,442.09	Professional		$458.31	$670.88	$1,442.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,634.87 / $1,634.87 / $1,634.87	Professional		$1,634.87	$1,634.87	$1,634.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $516.83 / $676.47	Professional		$304.02	$516.83	$676.47
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 $411.88 / $584.38 / $1,486.69	Professional		$411.88	$584.38	$1,486.69