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 $715.94 / $800.49 / $4,368.10	Professional		$715.94	$800.49	$4,368.10
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 $814.80 / $1,101.98 / $2,379.76	Professional		$814.80	$1,101.98	$2,379.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,393.26	Facility		$66.00	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $601.07 / $947.46 / $2,293.27	Professional		$601.07	$947.46	$2,293.27
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 $796.81 / $1,075.10 / $3,023.09	Professional		$796.81	$1,075.10	$3,023.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $569.99 / $998.12 / $1,347.46	Professional		$569.99	$998.12	$1,347.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.66 / $1,103.31 / $1,966.12	Professional		$848.66	$1,103.31	$1,966.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,578.42 / $7,909.30 / $26,542.00	Facility		$4,578.42	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,993.52 / $6,223.36 / $6,988.28	Professional		$5,993.52	$6,223.36	$6,988.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.66 / $1,084.84 / $1,660.38	Facility		$848.66	$1,084.84	$1,660.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $796.81 / $1,114.48 / $2,414.16	Professional		$796.81	$1,114.48	$2,414.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,710.33 / $2,710.33 / $2,710.33	Professional		$2,710.33	$2,710.33	$2,710.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $569.99 / $907.15 / $1,108.73	Professional		$569.99	$907.15	$1,108.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.68 / $964.68 / $2,639.45	Professional		$659.68	$964.68	$2,639.45