Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,902.00 / $9,821.00 / $20,509.00	Facility		$3,902.00	$9,821.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.54 / $1,158.44 / $3,284.98	Professional		$723.54	$1,158.44	$3,284.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $9,644.00 / $19,252.00	Facility		$3,275.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.43 / $1,256.18 / $2,415.23	Professional		$958.43	$1,256.18	$2,415.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,578.68	Facility		$66.00	$100.00	$20,578.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $522.41 / $803.00 / $1,976.08	Professional		$522.41	$803.00	$1,976.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,613.43 / $12,122.00 / $14,696.00	Facility		$3,613.43	$12,122.00	$14,696.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $743.44 / $997.90 / $3,092.03	Professional		$743.44	$997.90	$3,092.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $842.20 / $1,136.97	Professional		$475.43	$842.20	$1,136.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.58 / $968.72 / $1,741.87	Professional		$756.58	$968.72	$1,741.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $10,160.00 / $16,223.75	Facility		$2,800.00	$10,160.00	$16,223.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,504.40 / $5,625.28 / $6,282.98	Professional		$5,504.40	$5,625.28	$6,282.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $779.58 / $1,010.36 / $1,444.47	Facility		$779.58	$1,010.36	$1,444.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $744.88 / $1,010.97 / $2,148.57	Professional		$744.88	$1,010.97	$2,148.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,476.01 / $2,476.01 / $2,476.01	Professional		$2,476.01	$2,476.01	$2,476.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $475.43 / $779.42 / $934.95	Professional		$475.43	$779.42	$934.95
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,651.00 / $29,571.00	Facility		$7,212.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $613.20 / $897.90 / $2,542.35	Professional		$613.20	$897.90	$2,542.35