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 $382.63 / $504.85 / $2,641.19	Professional		$382.63	$504.85	$2,641.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,977.00 / $13,012.00	Facility		$2,097.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.85 / $638.50 / $1,254.86	Professional		$445.85	$638.50	$1,254.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,159.08	Facility		$66.00	$100.00	$7,159.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $313.75 / $453.51 / $1,042.33	Professional		$313.75	$453.51	$1,042.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $2,977.65 / $4,058.71	Facility		$499.60	$2,977.65	$4,058.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.39 / $590.62 / $1,349.84	Professional		$431.39	$590.62	$1,349.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $362.99 / $599.84 / $809.78	Professional		$362.99	$599.84	$809.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.87 / $624.57 / $1,194.00	Professional		$468.87	$624.57	$1,194.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,712.42 / $11,879.05 / $16,394.00	Facility		$2,712.42	$11,879.05	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,606.16 / $3,718.32 / $4,103.47	Professional		$3,606.16	$3,718.32	$4,103.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.73 / $669.53 / $960.37	Facility		$534.73	$669.53	$960.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.12 / $634.08 / $1,368.00	Professional		$440.12	$634.08	$1,368.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,638.82 / $1,638.82 / $1,638.82	Professional		$1,638.82	$1,638.82	$1,638.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $457.76 / $545.46 / $778.20	Professional		$457.76	$545.46	$778.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,735.64 / $7,352.00 / $14,743.00	Facility		$3,735.64	$7,352.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.70 / $493.50 / $1,117.56	Professional		$380.70	$493.50	$1,117.56