Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.46 / $855.20 / $4,191.37	Professional		$755.46	$855.20	$4,191.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,012.00	Facility		$2,143.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.61 / $1,208.70 / $2,337.08	Professional		$911.61	$1,208.70	$2,337.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $571.60 / $881.09 / $2,162.11	Professional		$571.60	$881.09	$2,162.11
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 $778.03 / $1,039.25 / $3,139.60	Professional		$778.03	$1,039.25	$3,139.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $711.09 / $896.75 / $1,345.13	Professional		$711.09	$896.75	$1,345.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.81 / $1,024.67 / $1,816.08	Professional		$797.81	$1,024.67	$1,816.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,931.88 / $14,302.50 / $16,394.00	Facility		$2,931.88	$14,302.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,010.07 / $9,010.07 / $9,010.07	Professional		$9,010.07	$9,010.07	$9,010.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $848.89 / $1,095.18 / $1,779.11	Facility		$848.89	$1,095.18	$1,779.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.82 / $1,042.64 / $2,260.23	Professional		$787.82	$1,042.64	$2,260.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,600.66 / $2,600.66 / $2,600.66	Professional		$2,600.66	$2,600.66	$2,600.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $711.09 / $989.21 / $1,345.12	Professional		$711.09	$989.21	$1,345.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $9,465.00 / $20,495.00	Facility		$4,980.00	$9,465.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.44 / $942.18 / $2,547.88	Professional		$643.44	$942.18	$2,547.88