Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,444.00 / $17,902.00	Facility		$1,992.00	$7,444.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.98 / $636.62 / $3,318.37	Professional		$478.98	$636.62	$3,318.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,546.00 / $4,617.00 / $9,381.00	Facility		$1,546.00	$4,617.00	$9,381.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.97 / $810.45 / $1,558.24	Professional		$560.97	$810.45	$1,558.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,497.06	Facility		$66.00	$100.00	$9,497.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $363.30 / $519.00 / $1,171.01	Professional		$363.30	$519.00	$1,171.01
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 $494.54 / $727.57 / $1,678.21	Professional		$494.54	$727.57	$1,678.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $358.52 / $746.65 / $1,007.98	Professional		$358.52	$746.65	$1,007.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.75 / $780.66 / $1,471.18	Professional		$586.75	$780.66	$1,471.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,410.22 / $11,500.00 / $26,542.00	Facility		$3,410.22	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,145.68 / $5,446.23 / $5,625.95	Professional		$5,145.68	$5,446.23	$5,625.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.66 / $802.46 / $1,159.35	Facility		$633.66	$802.46	$1,159.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.97 / $783.83 / $1,696.23	Professional		$492.97	$783.83	$1,696.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,058.98 / $2,058.98 / $2,058.98	Professional		$2,058.98	$2,058.98	$2,058.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $452.13 / $632.98 / $829.81	Professional		$452.13	$632.98	$829.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,198.00 / $2,731.00 / $7,399.00	Facility		$1,198.00	$2,731.00	$7,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.33 / $621.60 / $1,400.83	Professional		$459.33	$621.60	$1,400.83