Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,210.94 / $6,695.00 / $18,293.00	Facility		$2,210.94	$6,695.00	$18,293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.58 / $562.96 / $2,050.64	Professional		$536.58	$562.96	$2,050.64
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 $655.15 / $882.69 / $1,681.06	Professional		$655.15	$882.69	$1,681.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,181.81	Facility		$66.00	$100.00	$8,181.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $358.46 / $557.29 / $1,365.07	Professional		$358.46	$557.29	$1,365.07
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 $528.98 / $734.70 / $2,095.28	Professional		$528.98	$734.70	$2,095.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $705.85 / $734.72 / $1,102.08	Professional		$705.85	$734.72	$1,102.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.44 / $806.49 / $1,419.42	Professional		$620.44	$806.49	$1,419.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,398.94 / $9,496.40 / $26,542.00	Facility		$3,398.94	$9,496.40	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,407.12 / $4,558.56 / $5,190.22	Professional		$4,407.12	$4,558.56	$5,190.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.01 / $774.23 / $1,139.59	Facility		$604.01	$774.23	$1,139.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $771.71 / $1,695.43	Professional		$528.98	$771.71	$1,695.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,924.87 / $1,924.87 / $1,924.87	Professional		$1,924.87	$1,924.87	$1,924.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $629.07 / $783.48 / $1,249.02	Professional		$629.07	$783.48	$1,249.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,699.22 / $7,275.00 / $15,471.00	Facility		$2,699.22	$7,275.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.66 / $699.05 / $1,996.00	Professional		$448.66	$699.05	$1,996.00