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 $446.86 / $537.36 / $2,844.97	Professional		$446.86	$537.36	$2,844.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.72 / $885.73 / $1,679.56	Professional		$661.72	$885.73	$1,679.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $435.54 / $668.72 / $1,646.91	Professional		$435.54	$668.72	$1,646.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.55 / $3,621.74 / $8,532.51	Facility		$3,064.55	$3,621.74	$8,532.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.58 / $708.47 / $2,011.55	Professional		$548.58	$708.47	$2,011.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $601.40 / $811.89	Professional		$323.89	$601.40	$811.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.26 / $692.51 / $1,232.55	Professional		$541.26	$692.51	$1,232.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,512.95 / $13,759.35 / $26,542.00	Facility		$3,512.95	$13,759.35	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,976.00 / $4,976.00 / $4,976.00	Professional		$4,976.00	$4,976.00	$4,976.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.98 / $705.73 / $1,058.22	Facility		$548.98	$705.73	$1,058.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $543.66 / $718.28 / $1,528.71	Professional		$543.66	$718.28	$1,528.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,765.24 / $1,765.24 / $1,765.24	Professional		$1,765.24	$1,765.24	$1,765.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $546.05 / $667.40	Professional		$323.89	$546.05	$667.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $445.13 / $623.98 / $1,811.06	Professional		$445.13	$623.98	$1,811.06