Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,653.68 / $25,857.00	Facility		$2,700.00	$8,653.68	$25,857.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,962.00 / $2,988.00 / $3,060.00	Professional		$1,962.00	$2,988.00	$3,060.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $6,954.12 / $17,924.40	Facility		$614.00	$6,954.12	$17,924.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $4,644.00 / $9,180.00	Professional		$1,440.00	$4,644.00	$9,180.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $4,752.00 / $32,292.00	Facility		$59.30	$4,752.00	$32,292.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $2,340.00 / $5,882.53	Professional		$1,638.00	$2,340.00	$5,882.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,410.73 / $4,165.20 / $9,102.60	Facility		$2,410.73	$4,165.20	$9,102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,599.84 / $1,640.24 / $2,448.00	Professional		$1,599.84	$1,640.24	$2,448.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,600.00 / $4,860.00	Professional		$2,880.00	$3,600.00	$4,860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $4,140.00 / $7,848.00	Professional		$3,240.00	$4,140.00	$7,848.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,264.00 / $17,100.00 / $17,100.00	Facility		$6,264.00	$17,100.00	$17,100.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,000.00 / $18,000.00 / $27,000.00	Professional		$18,000.00	$18,000.00	$27,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,530.32 / $4,633.20 / $9,126.00	Facility		$2,530.32	$4,633.20	$9,126.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,714.58 / $3,960.00 / $5,184.00	Professional		$1,714.58	$3,960.00	$5,184.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Professional		$3,600.00	$3,600.00	$3,600.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,880.00 / $3,240.00 / $4,896.00	Professional		$2,880.00	$3,240.00	$4,896.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.00 / $1,512.00 / $7,152.48	Professional		$1,512.00	$1,512.00	$7,152.48