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 $592.36 / $656.45 / $3,529.92	Professional		$592.36	$656.45	$3,529.92
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 $684.43 / $921.08 / $1,919.81	Professional		$684.43	$921.08	$1,919.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $517.57 / $816.90 / $1,957.76	Professional		$517.57	$816.90	$1,957.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.34 / $877.84 / $2,513.34	Professional		$655.34	$877.84	$2,513.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $789.63 / $947.56	Professional		$295.23	$789.63	$947.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.71 / $881.02 / $1,564.71	Professional		$677.71	$881.02	$1,564.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,671.70 / $4,713.60 / $26,542.00	Facility		$3,671.70	$4,713.60	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,801.60 / $4,970.72 / $5,598.53	Professional		$4,801.60	$4,970.72	$5,598.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $664.70 / $853.48 / $1,263.41	Facility		$664.70	$853.48	$1,263.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $655.34 / $892.10 / $1,969.01	Professional		$655.34	$892.10	$1,969.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,190.23 / $2,190.23 / $2,190.23	Professional		$2,190.23	$2,190.23	$2,190.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $295.23 / $521.24 / $876.99	Professional		$295.23	$521.24	$876.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,038.00 / $9,131.00	Facility		$1,943.00	$4,038.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.45 / $797.28 / $2,291.83	Professional		$551.45	$797.28	$2,291.83