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 / $17,809.00	Facility		$2,197.85	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.83 / $665.98 / $3,623.65	Professional		$591.83	$665.98	$3,623.65
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 $677.37 / $913.42 / $1,976.19	Professional		$677.37	$913.42	$1,976.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $483.86 / $762.70 / $1,850.20	Professional		$483.86	$762.70	$1,850.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.03 / $894.40 / $2,483.65	Professional		$661.03	$894.40	$2,483.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $832.75 / $1,124.21	Professional		$421.82	$832.75	$1,124.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.21 / $918.46 / $1,636.12	Professional		$705.21	$918.46	$1,636.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,797.88 / $7,909.30 / $26,542.00	Facility		$3,797.88	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,970.08 / $5,167.68 / $5,802.45	Professional		$4,970.08	$5,167.68	$5,802.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $705.21 / $900.98 / $1,362.63	Facility		$705.21	$900.98	$1,362.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $661.03 / $928.75 / $2,011.10	Professional		$661.03	$928.75	$2,011.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,248.39 / $2,248.39 / $2,248.39	Professional		$2,248.39	$2,248.39	$2,248.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $717.09 / $925.08	Professional		$421.82	$717.09	$925.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.32 / $810.79 / $2,346.39	Professional		$554.32	$810.79	$2,346.39