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 $673.33 / $740.85 / $3,751.88	Professional		$673.33	$740.85	$3,751.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $19,252.00	Facility		$3,028.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.01 / $1,068.21 / $2,097.26	Professional		$815.01	$1,068.21	$2,097.26
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 $490.36 / $759.25 / $1,854.84	Professional		$490.36	$759.25	$1,854.84
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 $718.14 / $948.22 / $2,828.41	Professional		$718.14	$948.22	$2,828.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $804.35 / $1,085.86	Professional		$548.03	$804.35	$1,085.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.13 / $925.00 / $1,656.52	Professional		$717.13	$925.00	$1,656.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.80 / $9,388.90 / $26,542.00	Facility		$2,630.80	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,200.24 / $5,313.52 / $5,945.33	Professional		$5,200.24	$5,313.52	$5,945.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.35 / $944.84 / $1,321.73	Facility		$739.35	$944.84	$1,321.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $725.68 / $951.11 / $1,999.98	Professional		$725.68	$951.11	$1,999.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,327.98 / $2,327.98 / $2,327.98	Professional		$2,327.98	$2,327.98	$2,327.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $548.03 / $822.04 / $1,036.66	Professional		$548.03	$822.04	$1,036.66
United Facility/Professional Facility Modifier Low / Median / High Price $3,309.00 / $9,610.00 / $21,278.00	Facility		$3,309.00	$9,610.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.23 / $821.60 / $2,342.64	Professional		$580.23	$821.60	$2,342.64