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 $800.08 / $930.95 / $4,939.68	Professional		$800.08	$930.95	$4,939.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.04 / $1,246.75 / $2,458.69	Professional		$950.04	$1,246.75	$2,458.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $583.07 / $902.81 / $2,205.51	Professional		$583.07	$902.81	$2,205.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.93 / $1,086.04 / $3,351.46	Professional		$822.93	$1,086.04	$3,351.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $737.90 / $930.55 / $1,395.83	Professional		$737.90	$930.55	$1,395.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.62 / $1,056.97 / $1,895.79	Professional		$821.62	$1,056.97	$1,895.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,017.32 / $9,388.90 / $26,542.00	Facility		$3,017.32	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,737.00 / $7,737.00 / $7,737.00	Professional		$7,737.00	$7,737.00	$7,737.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $860.25 / $1,148.32 / $1,590.00	Facility		$860.25	$1,148.32	$1,590.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $835.42 / $1,092.46 / $2,326.76	Professional		$835.42	$1,092.46	$2,326.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,676.32 / $2,676.32 / $2,676.32	Professional		$2,676.32	$2,676.32	$2,676.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $737.90 / $1,020.40 / $1,395.82	Professional		$737.90	$1,020.40	$1,395.82
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.92 / $992.88 / $2,555.94	Professional		$661.92	$992.88	$2,555.94