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 $314.64 / $418.82 / $2,185.82	Professional		$314.64	$418.82	$2,185.82
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 $372.77 / $540.36 / $1,086.51	Professional		$372.77	$540.36	$1,086.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,305.65	Facility		$66.00	$100.00	$5,305.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $303.79 / $440.87 / $1,010.92	Professional		$303.79	$440.87	$1,010.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $1,458.73 / $1,988.34	Facility		$705.31	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.65 / $494.96 / $1,115.73	Professional		$362.65	$494.96	$1,115.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $150.78 / $495.49 / $668.91	Professional		$150.78	$495.49	$668.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.58 / $515.99 / $971.81	Professional		$392.58	$515.99	$971.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,240.21 / $11,500.00 / $16,394.00	Facility		$2,240.21	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,981.36 / $3,071.84 / $3,386.78	Professional		$2,981.36	$3,071.84	$3,386.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.44 / $524.74 / $762.88	Facility		$423.44	$524.74	$762.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $366.75 / $542.09 / $1,134.30	Professional		$366.75	$542.09	$1,134.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,356.26 / $1,356.26 / $1,356.26	Professional		$1,356.26	$1,356.26	$1,356.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $190.15 / $271.41 / $550.72	Professional		$190.15	$271.41	$550.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,698.00 / $7,042.00 / $14,636.00	Facility		$3,698.00	$7,042.00	$14,636.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.66 / $408.45 / $988.21	Professional		$318.66	$408.45	$988.21