Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.00 / $9,639.00 / $20,509.00	Facility		$873.00	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.13 / $753.65 / $3,741.87	Professional		$680.13	$753.65	$3,741.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $10,705.00	Facility		$1,787.00	$4,814.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.97 / $1,146.61 / $2,181.09	Professional		$744.97	$1,146.61	$2,181.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,809.99	Facility		$66.00	$100.00	$5,809.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $520.97 / $782.13 / $1,939.68	Professional		$520.97	$782.13	$1,939.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.49 / $930.30 / $2,831.26	Professional		$706.49	$930.30	$2,831.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $765.92 / $1,131.03	Professional		$597.91	$765.92	$1,131.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.33 / $885.77 / $1,581.69	Professional		$689.33	$885.77	$1,581.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,183.84 / $14,302.50	Facility		$55.00	$5,183.84	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,126.08 / $5,240.88 / $5,831.40	Professional		$5,126.08	$5,240.88	$5,831.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $737.33 / $925.25 / $1,412.73	Facility		$737.33	$925.25	$1,412.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.49 / $930.30 / $2,009.72	Professional		$706.49	$930.30	$2,009.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,321.77 / $2,321.77 / $2,321.77	Professional		$2,321.77	$2,321.77	$2,321.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $850.06 / $1,131.03	Professional		$597.91	$850.06	$1,131.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $852.18 / $2,264.06	Professional		$595.91	$852.18	$2,264.06