Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,255.73 / $7,206.00 / $20,048.82	Facility		$2,255.73	$7,206.00	$20,048.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.86 / $540.46 / $1,976.90	Professional		$478.86	$540.46	$1,976.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.74 / $806.54 / $1,506.28	Professional		$521.74	$806.54	$1,506.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,389.08	Facility		$66.00	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $385.97 / $551.38 / $1,136.67	Professional		$385.97	$551.38	$1,136.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.55 / $578.35 / $1,554.37	Professional		$409.55	$578.35	$1,554.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $424.10 / $670.14 / $1,267.65	Professional		$424.10	$670.14	$1,267.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.69 / $489.23 / $890.10	Professional		$381.69	$489.23	$890.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,135.21 / $14,302.50 / $26,542.00	Facility		$2,135.21	$14,302.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,908.00 / $4,908.00 / $4,908.00	Professional		$4,908.00	$4,908.00	$4,908.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.34 / $600.98 / $1,165.88	Facility		$434.34	$600.98	$1,165.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.54 / $590.16 / $1,290.23	Professional		$429.54	$590.16	$1,290.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,274.23 / $1,274.23 / $1,274.23	Professional		$1,274.23	$1,274.23	$1,274.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $388.18 / $845.10 / $1,267.65	Professional		$388.18	$845.10	$1,267.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.68 / $537.36 / $1,305.10	Professional		$316.68	$537.36	$1,305.10