Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $17,701.00	Facility		$2,387.00	$6,880.00	$17,701.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.98 / $575.78 / $2,780.13	Professional		$496.98	$575.78	$2,780.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $6,986.00 / $13,707.00	Facility		$2,629.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $815.12 / $1,102.47 / $2,063.91	Professional		$815.12	$1,102.47	$2,063.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $395.09 / $617.41 / $1,365.36	Professional		$395.09	$617.41	$1,365.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.08 / $685.64 / $1,748.65	Professional		$559.08	$685.64	$1,748.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $478.78 / $556.60 / $2,227.42	Professional		$478.78	$556.60	$2,227.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $496.29 / $624.16 / $1,167.83	Professional		$496.29	$624.16	$1,167.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,952.16 / $9,011.04	Facility		$55.00	$1,952.16	$9,011.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,698.16 / $3,835.20 / $4,503.89	Professional		$3,698.16	$3,835.20	$4,503.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $520.13 / $660.46 / $906.51	Facility		$520.13	$660.46	$906.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $564.22 / $692.28 / $1,632.30	Professional		$564.22	$692.28	$1,632.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,725.02 / $1,725.02 / $1,725.02	Professional		$1,725.02	$1,725.02	$1,725.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.78 / $616.70 / $813.92	Professional		$478.78	$616.70	$813.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $2,838.06 / $7,940.00	Facility		$1,407.00	$2,838.06	$7,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.16 / $659.82 / $1,770.28	Professional		$454.16	$659.82	$1,770.28