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 $425.72 / $481.18 / $2,543.63	Professional		$425.72	$481.18	$2,543.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $16,460.00	Facility		$2,629.00	$7,362.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.13 / $773.46 / $1,487.13	Professional		$590.13	$773.46	$1,487.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $315.17 / $488.61 / $1,192.15	Professional		$315.17	$488.61	$1,192.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,943.21 / $4,660.16 / $10,978.93	Facility		$3,943.21	$4,660.16	$10,978.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.75 / $610.63 / $1,814.91	Professional		$449.75	$610.63	$1,814.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $573.33 / $734.72 / $1,102.08	Professional		$573.33	$734.72	$1,102.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.32 / $651.72 / $1,150.64	Professional		$501.32	$651.72	$1,150.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $17,704.40	Facility		$2,000.00	$2,000.00	$17,704.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,058.97 / $5,058.97 / $5,058.97	Professional		$5,058.97	$5,058.97	$5,058.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.04 / $639.02 / $1,011.26	Facility		$504.04	$639.02	$1,011.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $459.39 / $635.21 / $1,358.10	Professional		$459.39	$635.21	$1,358.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,578.27 / $1,578.27 / $1,578.27	Professional		$1,578.27	$1,578.27	$1,578.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $511.51 / $636.72 / $1,249.02	Professional		$511.51	$636.72	$1,249.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,451.00	Facility		$5,799.00	$12,377.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.95 / $550.44 / $1,619.24	Professional		$373.95	$550.44	$1,619.24