Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $10,051.00 / $22,788.00	Facility		$927.00	$10,051.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.70 / $816.87 / $4,122.29	Professional		$733.70	$816.87	$4,122.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,707.00	Facility		$2,143.00	$6,048.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,172.93 / $1,423.46 / $2,736.40	Professional		$1,172.93	$1,423.46	$2,736.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $62.08 / $98.70 / $13,885.02	Facility		$62.08	$98.70	$13,885.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $535.53 / $821.40 / $1,830.24	Professional		$535.53	$821.40	$1,830.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,762.00 / $12,426.00 / $25,976.00	Facility		$10,762.00	$12,426.00	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $795.23 / $989.85 / $2,444.25	Professional		$795.23	$989.85	$2,444.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $688.76 / $847.48 / $1,033.14	Professional		$688.76	$847.48	$1,033.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.33 / $951.66 / $1,771.40	Professional		$756.33	$951.66	$1,771.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,912.96 / $11,933.00 / $14,728.96	Facility		$11,912.96	$11,933.00	$14,728.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,043.14 / $8,437.29 / $8,437.29	Professional		$7,043.14	$8,437.29	$8,437.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $785.16 / $1,016.98 / $1,526.75	Facility		$785.16	$1,016.98	$1,526.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.23 / $989.26 / $2,234.54	Professional		$795.23	$989.26	$2,234.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,557.82 / $2,557.82 / $2,557.82	Professional		$2,557.82	$2,557.82	$2,557.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $688.76 / $895.38 / $1,170.88	Professional		$688.76	$895.38	$1,170.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.29 / $932.80 / $2,260.42	Professional		$655.29	$932.80	$2,260.42