Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,700.00 / $8,209.62 / $18,695.00	Facility		$2,700.00	$8,209.62	$18,695.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $351.44 / $1,409.00	Professional		$283.88	$351.44	$1,409.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.57 / $475.87 / $1,000.83	Professional		$298.57	$475.87	$1,000.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,578.84	Facility		$66.70	$100.00	$8,578.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $224.50 / $325.62 / $786.83	Professional		$224.50	$325.62	$786.83
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 $285.54 / $377.03 / $1,145.60	Professional		$285.54	$377.03	$1,145.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $313.72 / $446.76 / $845.10	Professional		$313.72	$446.76	$845.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.35 / $366.09 / $657.13	Professional		$282.35	$366.09	$657.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,573.68 / $9,388.90 / $26,542.00	Facility		$1,573.68	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,506.00 / $3,506.00 / $3,506.00	Professional		$3,506.00	$3,506.00	$3,506.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $303.45 / $392.80 / $725.37	Facility		$303.45	$392.80	$725.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $377.03 / $810.27	Professional		$285.54	$377.03	$810.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $937.25 / $937.25 / $937.25	Professional		$937.25	$937.25	$937.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $286.60 / $563.40 / $845.10	Professional		$286.60	$563.40	$845.10
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 $232.96 / $365.64 / $895.06	Professional		$232.96	$365.64	$895.06