Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,917.88 / $8,870.00 / $19,368.00	Facility		$2,917.88	$8,870.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $458.95 / $640.16 / $2,447.00	Professional		$458.95	$640.16	$2,447.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $8,971.00 / $18,030.00	Facility		$3,028.00	$8,971.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $818.24 / $1,584.41	Professional		$608.00	$818.24	$1,584.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $11,847.40	Facility		$66.70	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $370.08 / $577.40 / $1,399.84	Professional		$370.08	$577.40	$1,399.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.35 / $697.79 / $2,013.88	Professional		$504.35	$697.79	$2,013.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $693.63 / $936.40	Professional		$608.04	$693.63	$936.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.69 / $779.60 / $1,380.32	Professional		$599.69	$779.60	$1,380.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,717.65 / $9,496.40 / $26,542.00	Facility		$2,717.65	$9,496.40	$26,542.00
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $134.01 / $900.13 / $900.13	Facility	AS	$134.01	$900.13	$900.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,240.88 / $4,381.43 / $4,984.58	Professional		$4,240.88	$4,381.43	$4,984.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $598.50 / $760.23 / $1,169.18	Facility		$598.50	$760.23	$1,169.18
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $191.22 / $191.22 / $191.22	Facility	AS	$191.22	$191.22	$191.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $509.68 / $745.78 / $1,573.27	Professional		$509.68	$745.78	$1,573.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,810.50 / $1,810.50 / $1,810.50	Professional		$1,810.50	$1,810.50	$1,810.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $608.04 / $770.17 / $1,033.67	Professional		$608.04	$770.17	$1,033.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,332.00 / $7,218.00 / $14,743.00	Facility		$1,332.00	$7,218.00	$14,743.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.16 / $652.72 / $1,881.23	Professional		$421.16	$652.72	$1,881.23