Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.51 / $749.66 / $4,079.91	Professional		$681.51	$749.66	$4,079.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $8,971.00 / $18,030.00	Facility		$3,028.00	$8,971.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.60 / $1,142.56 / $2,226.12	Professional		$840.60	$1,142.56	$2,226.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,441.20	Facility		$66.00	$100.00	$11,441.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $522.58 / $823.73 / $1,999.48	Professional		$522.58	$823.73	$1,999.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $830.46 / $981.46 / $2,312.23	Facility		$830.46	$981.46	$2,312.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.09 / $977.52 / $2,794.93	Professional		$703.09	$977.52	$2,794.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $921.68 / $1,130.56	Professional		$268.80	$921.68	$1,130.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $796.84 / $1,038.40 / $1,849.54	Professional		$796.84	$1,038.40	$1,849.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,288.92 / $5,522.40 / $26,542.00	Facility		$4,288.92	$5,522.40	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,612.80 / $5,815.36 / $6,554.18	Professional		$5,612.80	$5,815.36	$6,554.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.42 / $1,006.83 / $1,387.16	Facility		$783.42	$1,006.83	$1,387.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $723.80 / $1,045.82 / $2,254.94	Professional		$723.80	$1,045.82	$2,254.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,531.51 / $2,531.51 / $2,531.51	Professional		$2,531.51	$2,531.51	$2,531.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $268.80 / $474.57 / $1,046.61	Professional		$268.80	$474.57	$1,046.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,943.00 / $4,060.00 / $9,131.00	Facility		$1,943.00	$4,060.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.87 / $865.28 / $2,643.13	Professional		$593.87	$865.28	$2,643.13