Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.39 / $653.16 / $3,533.91	Professional		$522.39	$653.16	$3,533.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.26 / $998.32 / $1,928.94	Professional		$739.26	$998.32	$1,928.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $455.91 / $718.64 / $1,744.41	Professional		$455.91	$718.64	$1,744.41
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 $613.33 / $853.26 / $2,442.87	Professional		$613.33	$853.26	$2,442.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $425.17 / $843.41 / $1,138.59	Professional		$425.17	$843.41	$1,138.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $927.75 / $1,649.91	Professional		$709.38	$927.75	$1,649.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,808.44 / $16,547.20 / $26,542.00	Facility		$3,808.44	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,630.84 / $6,630.84 / $6,630.84	Professional		$6,630.84	$6,630.84	$6,630.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $698.21 / $899.95 / $1,349.46	Facility		$698.21	$899.95	$1,349.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.48 / $916.57 / $1,967.79	Professional		$632.48	$916.57	$1,967.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,192.71 / $2,192.71 / $2,192.71	Professional		$2,192.71	$2,192.71	$2,192.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $425.17 / $722.78 / $937.02	Professional		$425.17	$722.78	$937.02
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 $520.45 / $798.00 / $2,094.59	Professional		$520.45	$798.00	$2,094.59