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 $626.26 / $715.62 / $3,622.50	Professional		$626.26	$715.62	$3,622.50
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 $766.82 / $1,027.74 / $1,950.80	Professional		$766.82	$1,027.74	$1,950.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,537.56	Facility		$66.00	$100.00	$5,537.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $459.98 / $709.83 / $1,739.92	Professional		$459.98	$709.83	$1,739.92
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 $675.18 / $914.39 / $2,650.15	Professional		$675.18	$914.39	$2,650.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $497.39 / $774.26 / $1,045.25	Professional		$497.39	$774.26	$1,045.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.37 / $890.40 / $1,595.93	Professional		$691.37	$890.40	$1,595.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,441.29 / $5,625.83	Facility		$55.00	$4,441.29	$5,625.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,016.80 / $5,129.60 / $5,733.68	Professional		$5,016.80	$5,129.60	$5,733.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.38 / $931.37 / $1,334.98	Facility		$709.38	$931.37	$1,334.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $914.39 / $1,957.96	Professional		$680.13	$914.39	$1,957.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,247.69 / $2,247.69 / $2,247.69	Professional		$2,247.69	$2,247.69	$2,247.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $497.39 / $746.09 / $940.88	Professional		$497.39	$746.09	$940.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.52 / $813.44 / $2,305.96	Professional		$555.52	$813.44	$2,305.96