Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,782.00 / $19,331.00	Facility		$2,387.00	$8,782.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.43 / $513.48 / $2,674.66	Professional		$387.43	$513.48	$2,674.66
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 $461.87 / $694.30 / $1,366.94	Professional		$461.87	$694.30	$1,366.94
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 $378.32 / $540.45 / $1,208.24	Professional		$378.32	$540.45	$1,208.24
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 $451.33 / $620.58 / $1,368.70	Professional		$451.33	$620.58	$1,368.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $685.03 / $1,126.80	Professional		$595.67	$685.03	$1,126.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.15 / $626.47 / $1,181.05	Professional		$471.15	$626.47	$1,181.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,746.86 / $11,500.00 / $26,542.00	Facility		$2,746.86	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,848.00 / $6,848.00 / $6,848.00	Professional		$6,848.00	$6,848.00	$6,848.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.49 / $791.06 / $1,321.36	Facility		$578.49	$791.06	$1,321.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $469.61 / $669.19 / $1,387.95	Professional		$469.61	$669.19	$1,387.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,659.58 / $1,659.58 / $1,659.58	Professional		$1,659.58	$1,659.58	$1,659.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $525.91 / $774.38 / $1,277.04	Professional		$525.91	$774.38	$1,277.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.05 / $501.55 / $1,303.91	Professional		$388.05	$501.55	$1,303.91