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 $471.95 / $508.22 / $2,751.15	Professional		$471.95	$508.22	$2,751.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $5,955.00 / $13,012.00	Facility		$2,160.00	$5,955.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.13 / $881.08 / $1,735.16	Professional		$640.13	$881.08	$1,735.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,792.24	Facility		$66.00	$100.00	$9,792.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $371.20 / $564.62 / $1,258.08	Professional		$371.20	$564.62	$1,258.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,098.43 / $3,098.43 / $3,661.78	Facility		$3,098.43	$3,098.43	$3,661.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.34 / $654.85 / $1,647.66	Professional		$518.34	$654.85	$1,647.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $530.79 / $3,438.75	Professional		$441.18	$530.79	$3,438.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.58 / $591.28 / $1,104.16	Professional		$471.58	$591.28	$1,104.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,304.60 / $13,911.50	Facility		$55.00	$2,304.60	$13,911.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,510.32 / $3,600.32 / $4,244.10	Professional		$3,510.32	$3,600.32	$4,244.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $490.72 / $618.49 / $858.41	Facility		$490.72	$618.49	$858.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.34 / $656.79 / $1,519.95	Professional		$518.34	$656.79	$1,519.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,707.03 / $1,707.03 / $1,707.03	Professional		$1,707.03	$1,707.03	$1,707.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $573.53 / $750.00	Professional		$441.18	$573.53	$750.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,539.00 / $20,495.00	Facility		$5,213.00	$9,539.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.06 / $644.30 / $1,404.71	Professional		$446.06	$644.30	$1,404.71