Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,956.72 / $7,830.00 / $18,681.00	Facility		$1,956.72	$7,830.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $700.75 / $2,625.28	Professional		$637.66	$700.75	$2,625.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.96 / $952.16 / $1,822.04	Professional		$708.96	$952.16	$1,822.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $454.44 / $703.54 / $1,718.95	Professional		$454.44	$703.54	$1,718.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $4,270.41 / $10,060.73	Facility		$3,613.43	$4,270.41	$10,060.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.34 / $834.24 / $2,471.16	Professional		$622.34	$834.24	$2,471.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $722.27 / $985.95	Professional		$521.22	$722.27	$985.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $643.21 / $830.61 / $1,494.54	Professional		$643.21	$830.61	$1,494.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,127.41 / $16,223.75 / $26,542.00	Facility		$4,127.41	$16,223.75	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,986.00 / $18,994.34 / $18,994.34	Professional		$8,986.00	$18,994.34	$18,994.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $682.07 / $870.99 / $1,356.60	Facility		$682.07	$870.99	$1,356.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $630.90 / $834.24 / $1,811.22	Professional		$630.90	$834.24	$1,811.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,082.92 / $2,082.92 / $2,082.92	Professional		$2,082.92	$2,082.92	$2,082.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $781.83 / $985.95	Professional		$521.22	$781.83	$985.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $514.37 / $789.92 / $2,136.92	Professional		$514.37	$789.92	$2,136.92