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 / $18,252.00	Facility		$2,197.85	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.67 / $841.03 / $3,082.42	Professional		$698.67	$841.03	$3,082.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.68 / $1,075.65 / $2,119.42	Professional		$820.68	$1,075.65	$2,119.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $499.93 / $772.26 / $1,891.03	Professional		$499.93	$772.26	$1,891.03
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 $708.27 / $948.79 / $2,843.30	Professional		$708.27	$948.79	$2,843.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $658.23 / $830.08 / $1,245.11	Professional		$658.23	$830.08	$1,245.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.05 / $927.22 / $1,662.08	Professional		$720.05	$927.22	$1,662.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,643.32 / $14,302.50 / $26,542.00	Facility		$2,643.32	$14,302.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,877.00 / $6,877.00 / $6,877.00	Professional		$6,877.00	$6,877.00	$6,877.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.38 / $999.10 / $1,407.24	Facility		$751.38	$999.10	$1,407.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $732.54 / $952.07 / $2,011.66	Professional		$732.54	$952.07	$2,011.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,340.89 / $2,340.89 / $2,340.89	Professional		$2,340.89	$2,340.89	$2,340.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $658.23 / $895.15 / $1,245.10	Professional		$658.23	$895.15	$1,245.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.54 / $828.63 / $2,418.19	Professional		$567.54	$828.63	$2,418.19