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 $289.37 / $387.11 / $2,015.80	Professional		$289.37	$387.11	$2,015.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,050.00 / $4,847.00 / $9,622.00	Facility		$2,050.00	$4,847.00	$9,622.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.23 / $485.18 / $958.66	Professional		$337.23	$485.18	$958.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,455.40	Facility		$63.50	$100.00	$5,455.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $246.32 / $356.69 / $821.79	Professional		$246.32	$356.69	$821.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $1,050.00	Facility		$705.31	$705.31	$1,050.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.43 / $450.44 / $1,024.72	Professional		$328.43	$450.44	$1,024.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $291.56 / $582.48	Professional		$154.13	$291.56	$582.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.32 / $469.40 / $884.88	Professional		$357.32	$469.40	$884.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,360.76 / $3,930.50	Facility		$55.00	$1,360.76	$3,930.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,740.64 / $2,827.76 / $3,100.58	Professional		$2,740.64	$2,827.76	$3,100.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.65 / $477.36 / $682.50	Facility		$348.65	$477.36	$682.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.32 / $480.60 / $1,046.90	Professional		$336.32	$480.60	$1,046.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,250.77 / $1,250.77 / $1,250.77	Professional		$1,250.77	$1,250.77	$1,250.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.37 / $277.44 / $497.95	Professional		$194.37	$277.44	$497.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,067.00 / $17,075.00	Facility		$1,836.00	$5,067.00	$17,075.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.60 / $378.35 / $850.35	Professional		$291.60	$378.35	$850.35