Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $633.95 / $9,639.00 / $20,509.00	Facility		$633.95	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.10 / $608.20 / $3,268.87	Professional		$569.10	$608.20	$3,268.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,028.00 / $15,328.00	Facility		$2,629.00	$7,028.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.88 / $1,086.80 / $2,095.35	Professional		$811.88	$1,086.80	$2,095.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $465.30 / $715.78 / $1,594.90	Professional		$465.30	$715.78	$1,594.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,543.80 / $2,543.80 / $3,006.30	Facility		$2,543.80	$2,543.80	$3,006.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.53 / $762.50 / $1,849.15	Professional		$612.53	$762.50	$1,849.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $577.53 / $635.28 / $2,823.20	Professional		$577.53	$635.28	$2,823.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.78 / $665.26 / $1,227.29	Professional		$519.78	$665.26	$1,227.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,628.80 / $11,421.25	Facility		$55.00	$2,628.80	$11,421.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,322.59 / $4,322.59 / $4,847.55	Professional		$4,322.59	$4,322.59	$4,847.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $608.20 / $768.48 / $1,200.00	Facility		$608.20	$768.48	$1,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $612.53 / $762.44 / $1,787.56	Professional		$612.53	$762.44	$1,787.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,028.26 / $2,028.26 / $2,028.26	Professional		$2,028.26	$2,028.26	$2,028.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $779.37 / $1,169.06	Professional		$540.99	$779.37	$1,169.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.41 / $756.10 / $1,534.97	Professional		$534.41	$756.10	$1,534.97