Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,380.00	Facility		$1,820.00	$6,631.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.02 / $470.65 / $2,459.37	Professional		$364.02	$470.65	$2,459.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.29 / $620.83 / $1,193.67	Professional		$428.29	$620.83	$1,193.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,680.36	Facility		$66.00	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $430.56 / $990.26	Professional		$297.77	$430.56	$990.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,726.46 / $2,353.27	Facility		$571.29	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.54 / $571.40 / $1,256.17	Professional		$401.54	$571.40	$1,256.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $337.30 / $555.98 / $750.57	Professional		$337.30	$555.98	$750.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $579.78 / $1,092.39	Professional		$435.42	$579.78	$1,092.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,524.67 / $11,500.00 / $26,542.00	Facility		$2,524.67	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,355.68 / $3,461.76 / $3,818.10	Professional		$3,355.68	$3,461.76	$3,818.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $506.47 / $647.08 / $900.46	Facility		$506.47	$647.08	$900.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $625.74 / $1,274.90	Professional		$415.20	$625.74	$1,274.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,525.98 / $1,525.98 / $1,525.98	Professional		$1,525.98	$1,525.98	$1,525.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $425.37 / $505.96 / $723.12	Professional		$425.37	$505.96	$723.12
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,352.00 / $14,743.00	Facility		$3,523.00	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.78 / $469.43 / $1,058.51	Professional		$354.78	$469.43	$1,058.51