Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,980.00 / $16,973.00	Facility		$1,919.00	$5,980.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.37 / $680.64 / $3,402.14	Professional		$465.37	$680.64	$3,402.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,944.00 / $13,012.00	Facility		$2,097.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $523.44 / $786.84 / $1,503.22	Professional		$523.44	$786.84	$1,503.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $445.75 / $643.25 / $1,474.50	Professional		$445.75	$643.25	$1,474.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $2,256.40 / $3,075.60	Facility		$499.60	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.69 / $764.53 / $1,713.00	Professional		$549.69	$764.53	$1,713.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $529.78 / $863.23 / $1,165.35	Professional		$529.78	$863.23	$1,165.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $663.43 / $881.28 / $1,657.60	Professional		$663.43	$881.28	$1,657.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,771.42 / $11,500.00 / $16,394.00	Facility		$3,771.42	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,000.08 / $5,229.04 / $5,743.13	Professional		$5,000.08	$5,229.04	$5,743.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.75 / $890.42 / $1,356.23	Facility		$703.75	$890.42	$1,356.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $841.96 / $1,826.55	Professional		$560.67	$841.96	$1,826.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,110.94 / $2,110.94 / $2,110.94	Professional		$2,110.94	$2,110.94	$2,110.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $668.10 / $794.67 / $1,135.77	Professional		$668.10	$794.67	$1,135.77
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $21,278.00	Facility		$4,331.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.77 / $624.48 / $1,600.12	Professional		$471.77	$624.48	$1,600.12