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 $344.46 / $447.66 / $2,323.67	Professional		$344.46	$447.66	$2,323.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,863.00 / $11,400.00	Facility		$2,097.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.30 / $590.39 / $1,137.99	Professional		$403.30	$590.39	$1,137.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,881.37	Facility		$66.00	$100.00	$6,881.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $316.16 / $457.86 / $1,054.59	Professional		$316.16	$457.86	$1,054.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,458.73 / $1,988.34	Facility		$499.60	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.10 / $524.33 / $1,183.64	Professional		$381.10	$524.33	$1,183.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $368.95 / $553.42 / $714.31	Professional		$368.95	$553.42	$714.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.15 / $552.58 / $1,041.36	Professional		$415.15	$552.58	$1,041.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,411.58 / $11,500.00 / $16,394.00	Facility		$2,411.58	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,005.00 / $4,005.00 / $4,005.00	Professional		$4,005.00	$4,005.00	$4,005.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $477.22 / $597.46 / $960.00	Facility		$477.22	$597.46	$960.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $388.88 / $574.85 / $1,212.20	Professional		$388.88	$574.85	$1,212.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,441.79 / $1,441.79 / $1,441.79	Professional		$1,441.79	$1,441.79	$1,441.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $427.66 / $553.41 / $790.97	Professional		$427.66	$553.41	$790.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.41 / $439.71 / $1,048.93	Professional		$345.41	$439.71	$1,048.93