Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.19 / $856.17 / $4,179.96	Professional		$756.19	$856.17	$4,179.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $17,715.00	Facility		$2,629.00	$7,362.00	$17,715.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.98 / $1,185.81 / $2,287.42	Professional		$828.98	$1,185.81	$2,287.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,099.99	Facility		$66.00	$100.00	$9,099.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $570.41 / $878.19 / $2,157.64	Professional		$570.41	$878.19	$2,157.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,308.11 / $25,182.31 / $50,000.00	Facility		$21,308.11	$25,182.31	$50,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.08 / $1,035.64 / $3,149.00	Professional		$766.08	$1,035.64	$3,149.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $636.26 / $889.05 / $1,200.22	Professional		$636.26	$889.05	$1,200.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.12 / $1,022.41 / $1,812.16	Professional		$796.12	$1,022.41	$1,812.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,925.80 / $16,394.00 / $95,670.15	Facility		$2,925.80	$16,394.00	$95,670.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,091.49 / $7,091.49 / $7,091.49	Professional		$7,091.49	$7,091.49	$7,091.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $823.71 / $1,066.85 / $1,460.63	Facility		$823.71	$1,066.85	$1,460.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $785.02 / $1,043.81 / $2,254.17	Professional		$785.02	$1,043.81	$2,254.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,593.60 / $2,593.60 / $2,593.60	Professional		$2,593.60	$2,593.60	$2,593.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $636.26 / $890.76 / $1,081.64	Professional		$636.26	$890.76	$1,081.64
United Facility/Professional Facility Modifier Low / Median / High Price $9,103.00 / $18,191.00 / $46,941.00	Facility		$9,103.00	$18,191.00	$46,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.00 / $974.78 / $2,664.60	Professional		$658.00	$974.78	$2,664.60