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 $633.41 / $785.64 / $4,232.75	Professional		$633.41	$785.64	$4,232.75
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 $901.94 / $1,202.43 / $2,305.21	Professional		$901.94	$1,202.43	$2,305.21
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 $560.96 / $884.41 / $2,141.96	Professional		$560.96	$884.41	$2,141.96
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 $739.75 / $1,024.84 / $2,897.45	Professional		$739.75	$1,024.84	$2,897.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $995.31 / $1,343.67	Professional		$595.67	$995.31	$1,343.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.29 / $1,099.46 / $1,959.08	Professional		$845.29	$1,099.46	$1,959.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,558.08 / $16,547.20 / $26,542.00	Facility		$4,558.08	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,964.80 / $6,177.60 / $6,960.38	Professional		$5,964.80	$6,177.60	$6,960.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $836.76 / $1,068.58 / $1,594.27	Facility		$836.76	$1,068.58	$1,594.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $774.77 / $1,090.99 / $2,371.38	Professional		$774.77	$1,090.99	$2,371.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,626.35 / $2,626.35 / $2,626.35	Professional		$2,626.35	$2,626.35	$2,626.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $904.60 / $1,126.80	Professional		$595.67	$904.60	$1,126.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.67 / $892.74 / $2,737.04	Professional		$616.67	$892.74	$2,737.04