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 $368.73 / $407.57 / $2,203.94	Professional		$368.73	$407.57	$2,203.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.39 / $667.19 / $1,235.78	Professional		$490.39	$667.19	$1,235.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,800.46	Facility		$66.00	$100.00	$5,800.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $282.48 / $439.71 / $1,068.49	Professional		$282.48	$439.71	$1,068.49
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 $385.60 / $529.14 / $1,473.20	Professional		$385.60	$529.14	$1,473.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $489.66 / $608.04 / $912.06	Professional		$489.66	$608.04	$912.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.71 / $561.51 / $988.26	Professional		$432.71	$561.51	$988.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,771.37 / $9,496.40	Facility		$55.00	$2,771.37	$9,496.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,827.26 / $3,827.26 / $3,827.26	Professional		$3,827.26	$3,827.26	$3,827.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $438.18 / $560.38 / $876.03	Facility		$438.18	$560.38	$876.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $397.94 / $556.67 / $1,179.70	Professional		$397.94	$556.67	$1,179.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,367.49 / $1,367.49 / $1,367.49	Professional		$1,367.49	$1,367.49	$1,367.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $438.18 / $543.49 / $1,033.67	Professional		$438.18	$543.49	$1,033.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,190.00 / $7,335.00 / $15,471.00	Facility		$3,190.00	$7,335.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.97 / $467.64 / $1,347.29	Professional		$326.97	$467.64	$1,347.29