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 $494.86 / $574.55 / $2,895.22	Professional		$494.86	$574.55	$2,895.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $674.28 / $883.76 / $1,699.18	Professional		$674.28	$883.76	$1,699.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,343.07	Facility		$66.00	$100.00	$11,343.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $368.42 / $570.92 / $1,393.59	Professional		$368.42	$570.92	$1,393.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.47 / $695.05 / $2,058.92	Professional		$523.47	$695.05	$2,058.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $639.37 / $734.72 / $1,102.08	Professional		$639.37	$734.72	$1,102.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.13 / $735.28 / $1,296.53	Professional		$569.13	$735.28	$1,296.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $12,623.50	Facility		$2,000.00	$2,000.00	$12,623.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,263.72 / $5,263.72 / $5,263.72	Professional		$5,263.72	$5,263.72	$5,263.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $579.04 / $735.14 / $1,148.14	Facility		$579.04	$735.14	$1,148.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.47 / $730.78 / $1,543.31	Professional		$523.47	$730.78	$1,543.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,796.42 / $1,796.42 / $1,796.42	Professional		$1,796.42	$1,796.42	$1,796.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $574.89 / $709.58 / $1,249.02	Professional		$574.89	$709.58	$1,249.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.61 / $662.26 / $1,935.83	Professional		$436.61	$662.26	$1,935.83