Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.01 / $778.48 / $4,178.07	Professional		$723.01	$778.48	$4,178.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.06 / $1,216.11 / $2,280.73	Professional		$905.06	$1,216.11	$2,280.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $589.20 / $928.74 / $2,228.67	Professional		$589.20	$928.74	$2,228.67
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 $751.17 / $1,038.65 / $2,838.60	Professional		$751.17	$1,038.65	$2,838.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $628.80 / $968.37 / $1,307.30	Professional		$628.80	$968.37	$1,307.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.70 / $1,077.31 / $1,915.34	Professional		$828.70	$1,077.31	$1,915.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,978.48 / $26,542.00 / $30,160.00	Facility		$5,978.48	$26,542.00	$30,160.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,865.20 / $6,087.44 / $6,839.33	Professional		$5,865.20	$6,087.44	$6,839.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.70 / $1,044.73 / $1,533.24	Facility		$828.70	$1,044.73	$1,533.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $769.13 / $1,085.14 / $2,342.17	Professional		$769.13	$1,085.14	$2,342.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,592.40 / $2,592.40 / $2,592.40	Professional		$2,592.40	$2,592.40	$2,592.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $628.80 / $943.22 / $1,189.48	Professional		$628.80	$943.22	$1,189.48
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 $633.09 / $906.18 / $2,697.26	Professional		$633.09	$906.18	$2,697.26