Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $17,809.00	Facility		$2,387.00	$6,880.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.85 / $762.13 / $4,079.67	Professional		$708.85	$762.13	$4,079.67
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 $884.90 / $1,159.82 / $2,229.94	Professional		$884.90	$1,159.82	$2,229.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,181.81	Facility		$66.00	$100.00	$8,181.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $560.54 / $880.98 / $2,135.66	Professional		$560.54	$880.98	$2,135.66
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 $724.54 / $979.50 / $2,758.62	Professional		$724.54	$979.50	$2,758.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $623.97 / $854.95 / $1,180.32	Professional		$623.97	$854.95	$1,180.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.72 / $942.03 / $1,677.81	Professional		$722.72	$942.03	$1,677.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,889.08 / $7,909.30 / $26,542.00	Facility		$3,889.08	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,089.12 / $5,291.28 / $5,944.13	Professional		$5,089.12	$5,291.28	$5,944.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $762.64 / $941.03 / $1,381.49	Facility		$762.64	$941.03	$1,381.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $722.72 / $992.04 / $2,277.07	Professional		$722.72	$992.04	$2,277.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,531.35 / $2,531.35 / $2,531.35	Professional		$2,531.35	$2,531.35	$2,531.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $623.97 / $935.96 / $1,180.32	Professional		$623.97	$935.96	$1,180.32
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 $614.02 / $869.54 / $2,547.75	Professional		$614.02	$869.54	$2,547.75