Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.00 / $4,941.00 / $16,109.00	Facility		$1,023.00	$4,941.00	$16,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $583.65 / $1,459.75	Professional		$133.24	$583.65	$1,459.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,785.00 / $10,404.00	Facility		$1,546.00	$4,785.00	$10,404.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.83 / $496.82 / $2,718.26	Professional		$321.83	$496.82	$2,718.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,902.52	Facility		$66.00	$100.00	$1,902.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $304.67 / $918.99 / $2,039.06	Professional		$304.67	$918.99	$2,039.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $705.31 / $745.00	Facility		$705.31	$705.31	$745.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.19 / $1,133.48 / $2,572.15	Professional		$191.19	$1,133.48	$2,572.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $119.74 / $249.44 / $1,788.37	Professional		$119.74	$249.44	$1,788.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $1,043.65 / $2,209.71	Professional		$104.86	$1,043.65	$2,209.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $833.35 / $960.12	Facility		$55.00	$833.35	$960.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,172.53 / $7,886.96 / $9,303.98	Professional		$4,172.53	$7,886.96	$9,303.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $124.69 / $860.59 / $1,884.54	Facility		$124.69	$860.59	$1,884.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.90 / $1,194.08 / $3,021.80	Professional		$201.90	$1,194.08	$3,021.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $490.77 / $490.77 / $4,116.46	Professional		$490.77	$490.77	$4,116.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $349.22 / $1,657.65	Professional		$107.28	$349.22	$1,657.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,758.00 / $21,278.00	Facility		$4,509.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $964.04 / $1,244.24 / $2,976.33	Professional		$964.04	$1,244.24	$2,976.33