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 $539.04 / $579.80 / $2,994.82	Professional		$539.04	$579.80	$2,994.82
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 $648.09 / $872.18 / $1,647.30	Professional		$648.09	$872.18	$1,647.30
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 $371.29 / $572.98 / $1,404.45	Professional		$371.29	$572.98	$1,404.45
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 $538.33 / $738.29 / $2,253.07	Professional		$538.33	$738.29	$2,253.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $646.78 / $873.15	Professional		$421.82	$646.78	$873.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $743.80 / $1,328.74	Professional		$574.00	$743.80	$1,328.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,101.56 / $9,388.90 / $26,542.00	Facility		$2,101.56	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.33 / $5,128.33 / $5,128.33	Professional		$5,128.33	$5,128.33	$5,128.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.33 / $774.89 / $1,130.71	Facility		$586.33	$774.89	$1,130.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $561.54 / $745.69 / $1,620.33	Professional		$561.54	$745.69	$1,620.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,858.24 / $1,858.24 / $1,858.24	Professional		$1,858.24	$1,858.24	$1,858.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $632.72 / $797.92	Professional		$421.82	$632.72	$797.92
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 $458.64 / $690.78 / $2,268.27	Professional		$458.64	$690.78	$2,268.27