Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,011.00 / $19,011.00	Facility		$2,387.00	$8,011.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.66 / $580.88 / $3,086.90	Professional		$549.66	$580.88	$3,086.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.70 / $892.17 / $1,715.37	Professional		$680.70	$892.17	$1,715.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,377.87	Facility		$66.00	$100.00	$10,377.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $427.29 / $665.94 / $1,616.27	Professional		$427.29	$665.94	$1,616.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $4,270.41 / $10,060.73	Facility		$3,613.43	$4,270.41	$10,060.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.94 / $763.03 / $2,084.94	Professional		$575.94	$763.03	$2,084.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $695.11 / $938.40	Professional		$489.20	$695.11	$938.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.35 / $790.86 / $1,394.91	Professional		$608.35	$790.86	$1,394.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,877.93 / $16,223.75 / $26,542.00	Facility		$3,877.93	$16,223.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,816.27 / $4,816.27 / $5,050.35	Professional		$4,816.27	$4,816.27	$5,050.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.39 / $793.55 / $1,189.22	Facility		$624.39	$793.55	$1,189.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $575.94 / $780.61 / $1,641.66	Professional		$575.94	$780.61	$1,641.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,915.36 / $1,915.36 / $1,915.36	Professional		$1,915.36	$1,915.36	$1,915.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $733.80 / $925.38	Professional		$489.20	$733.80	$925.38
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 $472.08 / $678.02 / $1,927.66	Professional		$472.08	$678.02	$1,927.66