Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $7,000.00 / $20,452.00	Facility		$2,421.00	$7,000.00	$20,452.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $866.94 / $4,117.60	Professional		$748.41	$866.94	$4,117.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,012.00	Facility		$2,143.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $905.98 / $1,175.68 / $2,291.27	Professional		$905.98	$1,175.68	$2,291.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $547.17 / $844.92 / $2,069.73	Professional		$547.17	$844.92	$2,069.73
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 $773.86 / $1,025.33 / $3,063.22	Professional		$773.86	$1,025.33	$3,063.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $874.49 / $1,276.09	Professional		$674.61	$874.49	$1,276.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.35 / $1,005.66 / $1,805.73	Professional		$783.35	$1,005.66	$1,805.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,879.32 / $9,388.90 / $26,542.00	Facility		$2,879.32	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,692.00 / $5,818.24 / $6,501.30	Professional		$5,692.00	$5,818.24	$6,501.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.43 / $1,076.49 / $1,474.86	Facility		$805.43	$1,076.49	$1,474.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $798.20 / $1,034.51 / $2,221.44	Professional		$798.20	$1,034.51	$2,221.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,554.89 / $2,554.89 / $2,554.89	Professional		$2,554.89	$2,554.89	$2,554.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $970.83 / $1,276.09	Professional		$674.61	$970.83	$1,276.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $632.24 / $925.81 / $2,624.88	Professional		$632.24	$925.81	$2,624.88