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 $765.87 / $828.27 / $4,212.97	Professional		$765.87	$828.27	$4,212.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.46 / $1,224.30 / $2,366.71	Professional		$926.46	$1,224.30	$2,366.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,168.75	Facility		$66.00	$100.00	$8,168.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $556.12 / $858.93 / $2,103.57	Professional		$556.12	$858.93	$2,103.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.79 / $1,056.64 / $3,177.75	Professional		$791.79	$1,056.64	$3,177.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $897.88 / $1,212.14	Professional		$560.67	$897.88	$1,212.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $802.86 / $1,032.56 / $1,852.21	Professional		$802.86	$1,032.56	$1,852.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,948.80 / $5,444.45 / $26,542.00	Facility		$2,948.80	$5,444.45	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,660.08 / $8,255.64 / $8,528.07	Professional		$6,660.08	$8,255.64	$8,528.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.15 / $1,087.45 / $1,438.83	Facility		$828.15	$1,087.45	$1,438.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $810.52 / $1,060.64 / $2,272.73	Professional		$810.52	$1,060.64	$2,272.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,614.08 / $2,614.08 / $2,614.08	Professional		$2,614.08	$2,614.08	$2,614.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $560.67 / $841.03 / $1,060.59	Professional		$560.67	$841.03	$1,060.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.52 / $957.31 / $2,358.80	Professional		$646.52	$957.31	$2,358.80