Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,314.00 / $17,380.00	Facility		$1,919.00	$6,314.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $762.92 / $831.55 / $4,213.13	Professional		$762.92	$831.55	$4,213.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $922.20 / $1,196.74 / $2,356.50	Professional		$922.20	$1,196.74	$2,356.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,482.83	Facility		$66.00	$100.00	$7,482.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $543.99 / $837.02 / $2,058.13	Professional		$543.99	$837.02	$2,058.13
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 $792.53 / $1,049.11 / $3,205.01	Professional		$792.53	$1,049.11	$3,205.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $892.84 / $1,276.09	Professional		$674.61	$892.84	$1,276.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $800.71 / $1,026.77 / $1,844.94	Professional		$800.71	$1,026.77	$1,844.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,944.40 / $14,302.50 / $16,394.00	Facility		$2,944.40	$14,302.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,822.80 / $5,951.76 / $6,645.23	Professional		$5,822.80	$5,951.76	$6,645.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $826.00 / $1,032.19 / $1,580.03	Facility		$826.00	$1,032.19	$1,580.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $815.16 / $1,057.01 / $2,269.92	Professional		$815.16	$1,057.01	$2,269.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,614.17 / $2,614.17 / $2,614.17	Professional		$2,614.17	$2,614.17	$2,614.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $991.20 / $1,276.09	Professional		$674.61	$991.20	$1,276.09
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 $663.07 / $961.89 / $2,630.62	Professional		$663.07	$961.89	$2,630.62