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 $567.91 / $629.08 / $3,191.38	Professional		$567.91	$629.08	$3,191.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.66 / $1,125.58 / $2,118.61	Professional		$905.66	$1,125.58	$2,118.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,208.49	Facility		$66.00	$100.00	$8,208.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $481.18 / $739.68 / $1,610.53	Professional		$481.18	$739.68	$1,610.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.97 / $748.45 / $1,852.07	Professional		$604.97	$748.45	$1,852.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $583.67 / $2,227.42	Professional		$421.82	$583.67	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.30 / $669.62 / $1,237.06	Professional		$525.30	$669.62	$1,237.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,611.67 / $9,011.04 / $26,542.00	Facility		$2,611.67	$9,011.04	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,505.85 / $4,505.85 / $4,873.80	Professional		$4,505.85	$4,505.85	$4,873.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.73 / $828.93 / $1,232.13	Facility		$587.73	$828.93	$1,232.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.60 / $744.15 / $1,749.82	Professional		$602.60	$744.15	$1,749.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,980.18 / $1,980.18 / $1,980.18	Professional		$1,980.18	$1,980.18	$1,980.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $590.54 / $797.92	Professional		$421.82	$590.54	$797.92
United Facility/Professional Facility Modifier Low / Median / High Price $4,840.10 / $9,759.00 / $22,073.00	Facility		$4,840.10	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $522.58 / $734.27 / $1,750.75	Professional		$522.58	$734.27	$1,750.75