Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,264.00 / $17,701.00	Facility		$2,020.00	$6,264.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $614.90 / $3,331.12	Professional		$568.26	$614.90	$3,331.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.73 / $946.94 / $1,815.39	Professional		$704.73	$946.94	$1,815.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,431.40	Facility		$66.00	$100.00	$7,431.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $459.88 / $724.90 / $1,748.21	Professional		$459.88	$724.90	$1,748.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.05 / $810.86 / $2,293.23	Professional		$584.05	$810.86	$2,293.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $486.97 / $786.87 / $1,062.27	Professional		$486.97	$786.87	$1,062.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.12 / $867.79 / $1,545.70	Professional		$666.12	$867.79	$1,545.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,586.56 / $16,394.00 / $16,547.20	Facility		$3,586.56	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,623.00 / $7,623.00 / $7,623.00	Professional		$7,623.00	$7,623.00	$7,623.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.95 / $843.11 / $1,258.99	Facility		$669.95	$843.11	$1,258.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.33 / $860.34 / $1,848.57	Professional		$612.33	$860.34	$1,848.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,066.89 / $2,066.89 / $2,066.89	Professional		$2,066.89	$2,066.89	$2,066.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $486.97 / $730.45 / $921.16	Professional		$486.97	$730.45	$921.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.53 / $742.79 / $1,884.75	Professional		$487.53	$742.79	$1,884.75