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 $726.97 / $820.85 / $4,150.03	Professional		$726.97	$820.85	$4,150.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.89 / $1,172.61 / $2,302.34	Professional		$894.89	$1,172.61	$2,302.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,015.73	Facility		$66.00	$100.00	$8,015.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $533.54 / $825.10 / $2,018.18	Professional		$533.54	$825.10	$2,018.18
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 $771.54 / $1,028.17 / $3,127.54	Professional		$771.54	$1,028.17	$3,127.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $882.71 / $1,191.66	Professional		$404.69	$882.71	$1,191.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $790.20 / $1,015.12 / $1,822.02	Professional		$790.20	$1,015.12	$1,822.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,903.76 / $9,388.90 / $26,542.00	Facility		$2,903.76	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,739.76 / $5,867.44 / $6,557.63	Professional		$5,739.76	$5,867.44	$6,557.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $811.82 / $1,016.75 / $1,438.14	Facility		$811.82	$1,016.75	$1,438.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $779.39 / $1,028.29 / $2,239.73	Professional		$779.39	$1,028.29	$2,239.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,575.02 / $2,575.02 / $2,575.02	Professional		$2,575.02	$2,575.02	$2,575.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $404.69 / $712.70 / $979.97	Professional		$404.69	$712.70	$979.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,352.00 / $15,471.00	Facility		$3,459.00	$7,352.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.00 / $956.40 / $2,645.86	Professional		$637.00	$956.40	$2,645.86