Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $7,368.00 / $19,021.00	Facility		$2,608.00	$7,368.00	$19,021.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.60 / $1,154.29 / $3,236.08	Professional		$703.60	$1,154.29	$3,236.08
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 $870.19 / $1,163.48 / $2,225.69	Professional		$870.19	$1,163.48	$2,225.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $8,824.82	Facility		$66.70	$100.00	$8,824.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $816.53 / $1,999.41	Professional		$528.58	$816.53	$1,999.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $744.73 / $991.92 / $2,976.51	Professional		$744.73	$991.92	$2,976.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $558.82 / $839.23 / $1,132.96	Professional		$558.82	$839.23	$1,132.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.44 / $965.11 / $1,731.33	Professional		$750.44	$965.11	$1,731.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,756.24 / $9,388.90 / $26,542.00	Facility		$2,756.24	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,588.00 / $5,588.00 / $6,223.73	Professional		$5,588.00	$5,588.00	$6,223.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.27 / $1,048.73 / $1,421.72	Facility		$776.27	$1,048.73	$1,421.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $765.17 / $996.34 / $2,128.71	Professional		$765.17	$996.34	$2,128.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,449.75 / $2,449.75 / $2,449.75	Professional		$2,449.75	$2,449.75	$2,449.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $558.82 / $838.23 / $1,057.08	Professional		$558.82	$838.23	$1,057.08
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 $624.50 / $918.88 / $2,517.59	Professional		$624.50	$918.88	$2,517.59