Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,977.54 / $11,257.00 / $23,756.00	Facility		$2,977.54	$11,257.00	$23,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.66 / $1,073.01 / $5,811.51	Professional		$653.66	$1,073.01	$5,811.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,776.00 / $19,252.00	Facility		$3,403.00	$9,776.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.42 / $1,473.75 / $2,862.93	Professional		$1,124.42	$1,473.75	$2,862.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $21,385.77	Facility		$66.00	$100.00	$21,385.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $866.57 / $1,336.99 / $3,277.84	Professional		$866.57	$1,336.99	$3,277.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,745.39 / $7,971.82 / $18,780.91	Facility		$6,745.39	$7,971.82	$18,780.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.57 / $1,331.49 / $3,445.39	Professional		$828.57	$1,331.49	$3,445.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $654.78 / $883.95	Professional		$451.23	$654.78	$883.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.79 / $740.74 / $1,330.67	Professional		$569.79	$740.74	$1,330.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,105.72 / $26,542.00 / $30,285.75	Facility		$3,105.72	$26,542.00	$30,285.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,500.97 / $7,713.27 / $8,021.80	Professional		$7,500.97	$7,713.27	$8,021.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.95 / $1,047.65 / $1,890.69	Facility		$668.95	$1,047.65	$1,890.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.55 / $1,331.49 / $3,065.41	Professional		$765.55	$1,331.49	$3,065.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,605.94 / $3,605.94 / $3,605.94	Professional		$3,605.94	$3,605.94	$3,605.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $451.23 / $676.84 / $853.55	Professional		$451.23	$676.84	$853.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,377.00 / $26,672.00	Facility		$5,835.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $853.47 / $1,217.40 / $3,511.45	Professional		$853.47	$1,217.40	$3,511.45