Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,626.00 / $17,380.00	Facility		$1,820.00	$6,626.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.53 / $575.60 / $3,004.33	Professional		$441.53	$575.60	$3,004.33
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 $520.44 / $755.09 / $1,451.80	Professional		$520.44	$755.09	$1,451.80
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 $369.03 / $533.75 / $1,228.24	Professional		$369.03	$533.75	$1,228.24
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 $490.83 / $676.25 / $1,535.63	Professional		$490.83	$676.25	$1,535.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $677.19 / $914.21	Professional		$421.82	$677.19	$914.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.14 / $706.99 / $1,332.17	Professional		$531.14	$706.99	$1,332.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,596.46 / $11,500.00 / $26,542.00	Facility		$3,596.46	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,101.52 / $4,226.96 / $4,656.89	Professional		$4,101.52	$4,226.96	$4,656.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.53 / $765.55 / $1,086.58	Facility		$605.53	$765.55	$1,086.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $507.16 / $737.21 / $1,558.00	Professional		$507.16	$737.21	$1,558.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,864.13 / $1,864.13 / $1,864.13	Professional		$1,864.13	$1,864.13	$1,864.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $531.94 / $632.72 / $904.30	Professional		$531.94	$632.72	$904.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,070.50 / $4,060.00 / $9,131.00	Facility		$2,070.50	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.70 / $578.16 / $1,426.76	Professional		$434.70	$578.16	$1,426.76