Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,029.00 / $20,135.00	Facility		$2,616.00	$9,029.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $633.00 / $685.96 / $4,083.65	Professional		$633.00	$685.96	$4,083.65
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 $776.19 / $1,046.53 / $2,051.44	Professional		$776.19	$1,046.53	$2,051.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,886.73	Facility		$66.00	$100.00	$11,886.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $505.07 / $796.14 / $1,932.79	Professional		$505.07	$796.14	$1,932.79
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 $653.27 / $903.68 / $2,595.64	Professional		$653.27	$903.68	$2,595.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $897.03 / $1,210.99	Professional		$427.40	$897.03	$1,210.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.45 / $987.11 / $1,789.60	Professional		$756.45	$987.11	$1,789.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,066.02 / $16,547.20 / $26,542.00	Facility		$4,066.02	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,321.68 / $5,518.40 / $6,216.68	Professional		$5,321.68	$5,518.40	$6,216.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $719.05 / $947.63 / $1,449.54	Facility		$719.05	$947.63	$1,449.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $662.73 / $972.88 / $2,095.51	Professional		$662.73	$972.88	$2,095.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,333.42 / $2,333.42 / $2,333.42	Professional		$2,333.42	$2,333.42	$2,333.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $427.40 / $726.58 / $996.56	Professional		$427.40	$726.58	$996.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.74 / $797.80 / $2,325.71	Professional		$549.74	$797.80	$2,325.71