Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.46 / $732.20 / $3,711.54	Professional		$659.46	$732.20	$3,711.54
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 $814.36 / $1,068.65 / $2,074.03	Professional		$814.36	$1,068.65	$2,074.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $477.25 / $736.59 / $1,805.24	Professional		$477.25	$736.59	$1,805.24
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 $698.07 / $924.23 / $2,798.57	Professional		$698.07	$924.23	$2,798.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $790.86 / $1,067.66	Professional		$489.20	$790.86	$1,067.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.34 / $909.49 / $1,630.39	Professional		$706.34	$909.49	$1,630.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,593.00 / $9,388.90 / $26,542.00	Facility		$2,593.00	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,017.00 / $6,017.00 / $6,017.00	Professional		$6,017.00	$6,017.00	$6,017.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $725.64 / $978.81 / $1,393.68	Facility		$725.64	$978.81	$1,393.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.34 / $934.07 / $2,002.87	Professional		$706.34	$934.07	$2,002.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,302.92 / $2,302.92 / $2,302.92	Professional		$2,302.92	$2,302.92	$2,302.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $489.20 / $733.80 / $925.38	Professional		$489.20	$733.80	$925.38
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 $569.24 / $848.83 / $2,367.55	Professional		$569.24	$848.83	$2,367.55