Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.00 / $719.45 / $3,372.66	Professional		$552.00	$719.45	$3,372.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $13,707.00	Facility		$1,787.00	$4,814.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.27 / $1,040.94 / $2,015.31	Professional		$771.27	$1,040.94	$2,015.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $444.19 / $682.66 / $1,521.10	Professional		$444.19	$682.66	$1,521.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.77 / $786.33 / $1,942.23	Professional		$601.77	$786.33	$1,942.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $751.20 / $4,219.54	Professional		$595.67	$751.20	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.96 / $796.96 / $1,493.65	Professional		$634.96	$796.96	$1,493.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,826.56 / $17,070.15 / $26,542.00	Facility		$9,826.56	$17,070.15	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,296.80 / $5,296.80 / $5,684.70	Professional		$5,296.80	$5,296.80	$5,684.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.13 / $840.95 / $1,165.15	Facility		$664.13	$840.95	$1,165.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $601.77 / $784.93 / $1,843.21	Professional		$601.77	$784.93	$1,843.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,092.65 / $2,092.65 / $2,092.65	Professional		$2,092.65	$2,092.65	$2,092.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $807.30 / $1,126.80	Professional		$595.67	$807.30	$1,126.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $33,165.00	Facility		$7,696.00	$13,784.00	$33,165.00
United Facility/Professional Professional Modifier Low / Median / High Price $530.04 / $757.57 / $1,857.54	Professional		$530.04	$757.57	$1,857.54