Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $10,693.00 / $26,980.00	Facility		$2,387.00	$10,693.00	$26,980.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.85 / $461.02 / $1,889.41	Professional		$405.85	$461.02	$1,889.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,046.00 / $28,170.00	Facility		$3,738.00	$12,046.00	$28,170.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $655.11 / $835.04 / $1,440.13	Professional		$655.11	$835.04	$1,440.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $27,484.06	Facility		$65.90	$100.00	$27,484.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $369.92 / $565.75 / $1,183.10	Professional		$369.92	$565.75	$1,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,475.00 / $17,321.00 / $27,759.20	Facility		$13,475.00	$17,321.00	$27,759.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.75 / $516.74 / $1,264.45	Professional		$385.75	$516.74	$1,264.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $383.84 / $423.47 / $26,068.44	Professional		$383.84	$423.47	$26,068.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.28 / $433.62 / $794.97	Professional		$343.28	$433.62	$794.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,632.16 / $43,926.00 / $105,460.00	Facility		$2,632.16	$43,926.00	$105,460.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,500.34 / $19,347.62 / $19,347.62	Professional		$3,500.34	$19,347.62	$19,347.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.75 / $580.90 / $919.64	Facility		$406.75	$580.90	$919.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.75 / $537.90 / $1,214.06	Professional		$385.75	$537.90	$1,214.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,172.33 / $1,172.33 / $1,172.33	Professional		$1,172.33	$1,172.33	$1,172.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $484.05 / $726.08	Professional		$351.10	$484.05	$726.08
United Facility/Professional Facility Modifier Low / Median / High Price $13,912.00 / $33,444.00 / $84,496.00	Facility		$13,912.00	$33,444.00	$84,496.00
United Facility/Professional Professional Modifier Low / Median / High Price $307.11 / $476.55 / $965.16	Professional		$307.11	$476.55	$965.16