Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,697.00 / $22,210.00	Facility		$2,421.00	$9,697.00	$22,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.61 / $737.88 / $3,385.19	Professional		$695.61	$737.88	$3,385.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.87 / $1,214.75 / $2,386.57	Professional		$818.87	$1,214.75	$2,386.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $591.82 / $921.99 / $2,238.58	Professional		$591.82	$921.99	$2,238.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.96 / $1,051.97 / $2,853.81	Professional		$766.96	$1,051.97	$2,853.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $499.25 / $977.60 / $1,319.76	Professional		$499.25	$977.60	$1,319.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $845.50 / $1,099.15 / $1,973.97	Professional		$845.50	$1,099.15	$1,973.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,600.02 / $16,547.20 / $26,542.00	Facility		$4,600.02	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,960.56 / $6,119.20 / $7,047.60	Professional		$5,960.56	$6,119.20	$7,047.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $825.09 / $1,046.97 / $1,578.70	Facility		$825.09	$1,046.97	$1,578.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $768.59 / $1,089.06 / $2,344.83	Professional		$768.59	$1,089.06	$2,344.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,718.43 / $2,718.43 / $2,718.43	Professional		$2,718.43	$2,718.43	$2,718.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $499.25 / $848.73 / $1,085.35	Professional		$499.25	$848.73	$1,085.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $640.99 / $955.10 / $2,698.31	Professional		$640.99	$955.10	$2,698.31