Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,697.00 / $7,918.00 / $20,509.00	Facility		$1,697.00	$7,918.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.23 / $411.22 / $2,088.21	Professional		$384.23	$411.22	$2,088.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $9,759.00 / $18,903.00	Facility		$2,456.00	$9,759.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.21 / $751.82 / $1,417.01	Professional		$546.21	$751.82	$1,417.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $28,345.00 / $54,281.00	Facility		$100.00	$28,345.00	$54,281.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $466.95 / $1,034.96	Professional		$310.89	$466.95	$1,034.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $417.80 / $519.89 / $1,308.57	Professional		$417.80	$519.89	$1,308.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $367.38 / $416.00 / $540.79	Professional		$367.38	$416.00	$540.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.76 / $462.20 / $866.46	Professional		$369.76	$462.20	$866.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $886.07 / $1,710.63 / $1,844.38	Facility		$886.07	$1,710.63	$1,844.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,416.59 / $2,416.59 / $3,064.58	Professional		$2,416.59	$2,416.59	$3,064.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.83 / $585.73 / $18,892.00	Facility		$399.83	$585.73	$18,892.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.80 / $517.44 / $1,188.99	Professional		$417.80	$517.44	$1,188.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,295.69 / $1,295.69 / $1,295.69	Professional		$1,295.69	$1,295.69	$1,295.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $367.38 / $462.11 / $624.54	Professional		$367.38	$462.11	$624.54
United Facility/Professional Facility Modifier Low / Median / High Price $548.00 / $1,533.00 / $6,920.00	Facility		$548.00	$1,533.00	$6,920.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.40 / $500.72 / $1,071.03	Professional		$341.40	$500.72	$1,071.03