Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $18,293.00	Facility		$2,387.00	$6,880.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.02 / $625.62 / $3,006.38	Professional		$541.02	$625.62	$3,006.38
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 $643.33 / $844.64 / $1,649.34	Professional		$643.33	$844.64	$1,649.34
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 $391.90 / $607.08 / $1,482.40	Professional		$391.90	$607.08	$1,482.40
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 $565.97 / $748.65 / $2,260.30	Professional		$565.97	$748.65	$2,260.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $284.81 / $648.04 / $874.87	Professional		$284.81	$648.04	$874.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.04 / $745.26 / $1,337.96	Professional		$575.04	$745.26	$1,337.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,105.23 / $9,388.90 / $26,542.00	Facility		$2,105.23	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,158.00 / $5,158.00 / $5,158.00	Professional		$5,158.00	$5,158.00	$5,158.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.96 / $792.03 / $1,102.50	Facility		$587.96	$792.03	$1,102.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.01 / $762.48 / $1,625.44	Professional		$584.01	$762.48	$1,625.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,865.41 / $1,865.41 / $1,865.41	Professional		$1,865.41	$1,865.41	$1,865.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $284.81 / $502.83 / $719.55	Professional		$284.81	$502.83	$719.55
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 $456.85 / $662.64 / $1,685.30	Professional		$456.85	$662.64	$1,685.30