Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.00 / $10,615.43 / $23,981.00	Facility		$1,169.00	$10,615.43	$23,981.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.28 / $795.99 / $4,009.10	Professional		$709.28	$795.99	$4,009.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,727.00 / $17,774.00	Facility		$3,204.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,025.64 / $1,403.76 / $2,622.53	Professional		$1,025.64	$1,403.76	$2,622.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,510.42	Facility		$63.50	$100.00	$5,510.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $626.61 / $964.16 / $2,082.78	Professional		$626.61	$964.16	$2,082.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,762.00 / $12,375.00 / $25,976.00	Facility		$10,762.00	$12,375.00	$25,976.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.28 / $956.73 / $2,444.25	Professional		$778.28	$956.73	$2,444.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $451.97 / $569.97 / $1,014.56	Professional		$451.97	$569.97	$1,014.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.07 / $930.62 / $1,744.84	Professional		$744.07	$930.62	$1,744.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,543.52 / $11,933.00 / $14,309.44	Facility		$11,543.52	$11,933.00	$14,309.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,508.15 / $8,508.15 / $8,508.15	Professional		$8,508.15	$8,508.15	$8,508.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $793.11 / $1,058.33 / $1,884.86	Facility		$793.11	$1,058.33	$1,884.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.08 / $961.60 / $2,195.69	Professional		$787.08	$961.60	$2,195.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,487.58 / $2,487.58 / $2,487.58	Professional		$2,487.58	$2,487.58	$2,487.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $451.97 / $740.96 / $937.29	Professional		$451.97	$740.96	$937.29
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 $653.95 / $924.60 / $2,046.05	Professional		$653.95	$924.60	$2,046.05