Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,218.00 / $17,380.00	Facility		$2,020.00	$6,218.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.23 / $985.27 / $4,598.47	Professional		$833.23	$985.27	$4,598.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.32 / $1,312.00 / $2,579.27	Professional		$1,007.32	$1,312.00	$2,579.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.99 / $950.27 / $2,333.82	Professional		$616.99	$950.27	$2,333.82
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 $851.25 / $1,141.03 / $3,486.99	Professional		$851.25	$1,141.03	$3,486.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $976.42 / $1,318.17	Professional		$590.47	$976.42	$1,318.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.98 / $1,122.88 / $1,991.18	Professional		$874.98	$1,122.88	$1,991.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,216.56 / $14,302.50 / $16,394.00	Facility		$3,216.56	$14,302.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,359.36 / $6,500.16 / $7,261.80	Professional		$6,359.36	$6,500.16	$7,261.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.82 / $1,176.59 / $1,726.60	Facility		$930.82	$1,176.59	$1,726.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.92 / $1,152.14 / $2,480.38	Professional		$864.92	$1,152.14	$2,480.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,853.27 / $2,853.27 / $2,853.27	Professional		$2,853.27	$2,853.27	$2,853.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $886.91 / $1,116.94	Professional		$590.47	$886.91	$1,116.94
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 $728.14 / $1,134.90 / $2,931.04	Professional		$728.14	$1,134.90	$2,931.04