Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $8,858.00 / $19,331.00	Facility		$2,421.00	$8,858.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.29 / $739.17 / $3,821.65	Professional		$562.29	$739.17	$3,821.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $9,256.00 / $18,544.00	Facility		$2,400.00	$9,256.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.89 / $959.26 / $1,933.38	Professional		$660.89	$959.26	$1,933.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,002.37	Facility		$66.00	$100.00	$11,002.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $430.13 / $614.47 / $1,400.49	Professional		$430.13	$614.47	$1,400.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $2,256.40 / $3,075.60	Facility		$802.88	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.91 / $849.66 / $1,942.68	Professional		$592.91	$849.66	$1,942.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.76 / $859.28 / $1,160.03	Professional		$446.76	$859.28	$1,160.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.66 / $899.90 / $1,873.23	Professional		$676.66	$899.90	$1,873.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,941.64 / $11,500.00 / $26,542.00	Facility		$3,941.64	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.32 / $5,403.04 / $5,943.98	Professional		$5,250.32	$5,403.04	$5,943.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $718.68 / $915.16 / $1,440.00	Facility		$718.68	$915.16	$1,440.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $606.90 / $874.60 / $1,998.80	Professional		$606.90	$874.60	$1,998.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,371.25 / $2,371.25 / $2,371.25	Professional		$2,371.25	$2,371.25	$2,371.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $563.40 / $759.49 / $957.78	Professional		$563.40	$759.49	$957.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $721.50 / $1,612.23	Professional		$553.50	$721.50	$1,612.23