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 $550.75 / $624.90 / $3,056.92	Professional		$550.75	$624.90	$3,056.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $662.82 / $866.97 / $1,682.04	Professional		$662.82	$866.97	$1,682.04
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 $391.10 / $603.87 / $1,479.35	Professional		$391.10	$603.87	$1,479.35
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 $553.57 / $756.53 / $2,303.69	Professional		$553.57	$756.53	$2,303.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $539.84 / $680.78 / $1,021.17	Professional		$539.84	$680.78	$1,021.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.48 / $758.97 / $1,338.46	Professional		$586.48	$758.97	$1,338.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,222.84 / $9,388.90 / $26,542.00	Facility		$3,222.84	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,677.00 / $9,677.00 / $9,677.00	Professional		$9,677.00	$9,677.00	$9,677.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $608.39 / $791.96 / $1,171.50	Facility		$608.39	$791.96	$1,171.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $573.89 / $760.20 / $1,653.49	Professional		$573.89	$760.20	$1,653.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,896.75 / $1,896.75 / $1,896.75	Professional		$1,896.75	$1,896.75	$1,896.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $539.84 / $732.77 / $1,021.16	Professional		$539.84	$732.77	$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 $481.69 / $716.54 / $1,945.93	Professional		$481.69	$716.54	$1,945.93