Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,954.00 / $18,483.00	Facility		$2,197.85	$7,954.00	$18,483.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.38 / $508.98 / $2,476.55	Professional		$447.38	$508.98	$2,476.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.66 / $722.21 / $1,354.01	Professional		$536.66	$722.21	$1,354.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $484.75 / $1,182.96	Professional		$312.74	$484.75	$1,182.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.34 / $616.72 / $1,865.25	Professional		$453.34	$616.72	$1,865.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $539.84 / $596.37 / $1,021.17	Professional		$539.84	$596.37	$1,021.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.53 / $620.79 / $1,093.27	Professional		$477.53	$620.79	$1,093.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,049.90 / $9,388.90 / $26,542.00	Facility		$3,049.90	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,295.00 / $8,295.00 / $8,295.00	Professional		$8,295.00	$8,295.00	$8,295.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.94 / $644.57 / $1,038.58	Facility		$496.94	$644.57	$1,038.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.49 / $621.77 / $1,343.83	Professional		$465.49	$621.77	$1,343.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,536.64 / $1,536.64 / $1,536.64	Professional		$1,536.64	$1,536.64	$1,536.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $492.58 / $680.78 / $1,021.16	Professional		$492.58	$680.78	$1,021.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.28 / $590.42 / $1,389.84	Professional		$378.28	$590.42	$1,389.84