Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,695.00 / $17,902.00	Facility		$2,387.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.65 / $549.16 / $2,805.73	Professional		$438.65	$549.16	$2,805.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.19 / $812.87 / $1,562.88	Professional		$620.19	$812.87	$1,562.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,203.64	Facility		$66.00	$100.00	$8,203.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $376.17 / $592.96 / $1,439.79	Professional		$376.17	$592.96	$1,439.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.94 / $713.06 / $1,938.55	Professional		$529.94	$713.06	$1,938.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $650.09 / $715.10 / $1,267.65	Professional		$650.09	$715.10	$1,267.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.34 / $716.88 / $1,276.97	Professional		$550.34	$716.88	$1,276.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,457.23 / $7,909.30 / $26,542.00	Facility		$3,457.23	$7,909.30	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,998.97 / $3,999.92 / $4,527.60	Professional		$3,998.97	$3,999.92	$4,527.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $703.30 / $1,050.43	Facility		$541.00	$703.30	$1,050.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $532.05 / $725.43 / $1,550.66	Professional		$532.05	$725.43	$1,550.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,740.89 / $1,740.89 / $1,740.89	Professional		$1,740.89	$1,740.89	$1,740.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.87 / $845.10 / $1,267.65	Professional		$590.87	$845.10	$1,267.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,867.00 / $7,163.00 / $16,148.00	Facility		$3,867.00	$7,163.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.36 / $619.91 / $1,827.37	Professional		$423.36	$619.91	$1,827.37