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 $792.56 / $879.64 / $4,430.46	Professional		$792.56	$879.64	$4,430.46
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 $932.53 / $1,290.83 / $2,414.88	Professional		$932.53	$1,290.83	$2,414.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,551.81	Facility		$66.00	$100.00	$8,551.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $603.14 / $929.10 / $2,281.42	Professional		$603.14	$929.10	$2,281.42
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 $831.80 / $1,091.47 / $3,192.93	Professional		$831.80	$1,091.47	$3,192.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $939.00 / $1,408.50	Professional		$744.60	$939.00	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $841.11 / $1,078.85 / $1,913.89	Professional		$841.11	$1,078.85	$1,913.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,092.48 / $14,302.50 / $26,542.00	Facility		$3,092.48	$14,302.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,796.51 / $7,796.51 / $7,796.51	Professional		$7,796.51	$7,796.51	$7,796.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $879.64 / $1,136.48 / $1,805.50	Facility		$879.64	$1,136.48	$1,805.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $834.26 / $1,103.24 / $2,372.94	Professional		$834.26	$1,103.24	$2,372.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,749.02 / $2,749.02 / $2,749.02	Professional		$2,749.02	$2,749.02	$2,749.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,041.51 / $1,408.50	Professional		$744.60	$1,041.51	$1,408.50
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 $688.52 / $1,049.42 / $2,766.30	Professional		$688.52	$1,049.42	$2,766.30