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 $439.73 / $498.10 / $2,473.32	Professional		$439.73	$498.10	$2,473.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,973.00 / $18,150.00	Facility		$3,204.00	$8,973.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $598.95 / $821.32 / $1,580.11	Professional		$598.95	$821.32	$1,580.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,963.04	Facility		$66.00	$100.00	$9,963.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $349.08 / $537.49 / $1,197.64	Professional		$349.08	$537.49	$1,197.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,875.22 / $2,875.22 / $3,397.99	Facility		$2,875.22	$2,875.22	$3,397.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.52 / $590.17 / $1,527.16	Professional		$466.52	$590.17	$1,527.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $526.25 / $618.02 / $3,191.02	Professional		$526.25	$618.02	$3,191.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.02 / $577.67 / $1,083.09	Professional		$461.02	$577.67	$1,083.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,128.79 / $12,909.30 / $26,542.00	Facility		$3,128.79	$12,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,387.04 / $7,387.04 / $7,387.04	Professional		$7,387.04	$7,387.04	$7,387.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.40 / $654.41 / $1,170.69	Facility		$481.40	$654.41	$1,170.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $458.79 / $585.73 / $1,349.55	Professional		$458.79	$585.73	$1,349.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,534.64 / $1,534.64 / $1,534.64	Professional		$1,534.64	$1,534.64	$1,534.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.07 / $779.37 / $1,169.06	Professional		$478.07	$779.37	$1,169.06
United Facility/Professional Facility Modifier Low / Median / High Price $4,509.00 / $9,759.00 / $23,219.00	Facility		$4,509.00	$9,759.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $401.94 / $558.04 / $1,303.92	Professional		$401.94	$558.04	$1,303.92