Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.44 / $686.70 / $3,338.94	Professional		$605.44	$686.70	$3,338.94
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 $723.58 / $947.01 / $1,862.92	Professional		$723.58	$947.01	$1,862.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $445.33 / $687.32 / $1,684.48	Professional		$445.33	$687.32	$1,684.48
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 $620.34 / $826.87 / $2,520.85	Professional		$620.34	$826.87	$2,520.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $718.64 / $970.16	Professional		$505.96	$718.64	$970.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.89 / $826.44 / $1,459.35	Professional		$639.89	$826.44	$1,459.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,346.23 / $14,302.50 / $26,542.00	Facility		$2,346.23	$14,302.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,405.71 / $5,405.71 / $5,405.71	Professional		$5,405.71	$5,405.71	$5,405.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $677.99 / $870.41 / $1,320.00	Facility		$677.99	$870.41	$1,320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.09 / $834.67 / $1,805.22	Professional		$627.09	$834.67	$1,805.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,071.76 / $2,071.76 / $2,071.76	Professional		$2,071.76	$2,071.76	$2,071.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $758.93 / $957.08	Professional		$505.96	$758.93	$957.08
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 $511.56 / $782.36 / $2,084.81	Professional		$511.56	$782.36	$2,084.81