Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.09 / $636.67 / $3,409.96	Professional		$504.09	$636.67	$3,409.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.40 / $947.09 / $1,866.54	Professional		$708.40	$947.09	$1,866.54
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 $439.50 / $692.77 / $1,686.03	Professional		$439.50	$692.77	$1,686.03
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 $597.05 / $829.25 / $2,394.15	Professional		$597.05	$829.25	$2,394.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $379.00 / $828.45 / $1,118.41	Professional		$379.00	$828.45	$1,118.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.81 / $911.30 / $1,608.82	Professional		$688.81	$911.30	$1,608.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,678.54 / $16,547.20 / $26,542.00	Facility		$3,678.54	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,691.93 / $6,691.93 / $6,691.93	Professional		$6,691.93	$6,691.93	$6,691.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $646.55 / $868.63 / $1,243.47	Facility		$646.55	$868.63	$1,243.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $597.05 / $895.43 / $1,917.50	Professional		$597.05	$895.43	$1,917.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,115.80 / $2,115.80 / $2,115.80	Professional		$2,115.80	$2,115.80	$2,115.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $379.00 / $669.13 / $920.57	Professional		$379.00	$669.13	$920.57
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 $497.12 / $732.79 / $2,171.21	Professional		$497.12	$732.79	$2,171.21