Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,674.00 / $22,788.00	Facility		$873.00	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $761.97 / $855.12 / $4,297.29	Professional		$761.97	$855.12	$4,297.29
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 $1,157.21 / $1,505.37 / $2,852.74	Professional		$1,157.21	$1,505.37	$2,852.74
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 $667.43 / $1,025.00 / $2,242.46	Professional		$667.43	$1,025.00	$2,242.46
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 $837.66 / $1,031.85 / $2,521.23	Professional		$837.66	$1,031.85	$2,521.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.84 / $853.55 / $1,172.48	Professional		$676.84	$853.55	$1,172.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.61 / $995.33 / $1,864.92	Professional		$795.61	$995.33	$1,864.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,933.00 / $12,366.24 / $15,344.00	Facility		$11,933.00	$12,366.24	$15,344.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,627.02 / $8,627.02 / $8,627.02	Professional		$8,627.02	$8,627.02	$8,627.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.69 / $1,130.84 / $1,965.71	Facility		$847.69	$1,130.84	$1,965.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.16 / $1,031.86 / $2,355.38	Professional		$838.16	$1,031.86	$2,355.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,666.39 / $2,666.39 / $2,666.39	Professional		$2,666.39	$2,666.39	$2,666.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $676.84 / $947.58 / $1,280.33	Professional		$676.84	$947.58	$1,280.33
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 $701.52 / $1,033.66 / $2,192.23	Professional		$701.52	$1,033.66	$2,192.23