Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,494.00 / $17,902.00	Facility		$1,992.00	$7,494.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $654.76 / $3,416.83	Professional		$506.19	$654.76	$3,416.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,484.00 / $17,774.00	Facility		$2,275.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.24 / $828.18 / $1,666.38	Professional		$593.24	$828.18	$1,666.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,724.66	Facility		$66.00	$100.00	$9,724.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $421.76 / $610.33 / $1,404.99	Professional		$421.76	$610.33	$1,404.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,256.40 / $3,075.60	Facility		$705.31	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $536.75 / $758.83 / $1,747.75	Professional		$536.75	$758.83	$1,747.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $439.69 / $770.36 / $1,039.99	Professional		$439.69	$770.36	$1,039.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.98 / $805.04 / $1,517.05	Professional		$604.98	$805.04	$1,517.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,514.44 / $11,500.00 / $26,542.00	Facility		$3,514.44	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,679.35 / $4,808.32 / $5,305.13	Professional		$4,679.35	$4,808.32	$5,305.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $671.11 / $821.60 / $1,239.99	Facility		$671.11	$821.60	$1,239.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $544.85 / $789.84 / $1,771.75	Professional		$544.85	$789.84	$1,771.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,120.09 / $2,120.09 / $2,120.09	Professional		$2,120.09	$2,120.09	$2,120.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $554.48 / $700.50 / $942.62	Professional		$554.48	$700.50	$942.62
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $21,278.00	Facility		$4,331.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $494.99 / $652.76 / $1,406.96	Professional		$494.99	$652.76	$1,406.96