Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,382.00 / $17,054.00	Facility		$1,335.00	$5,382.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $832.55 / $961.85 / $4,607.75	Professional		$832.55	$961.85	$4,607.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,334.00 / $18,269.00	Facility		$2,629.00	$7,334.00	$18,269.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.99 / $1,306.73 / $2,560.80	Professional		$996.99	$1,306.73	$2,560.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,373.15	Facility		$66.00	$100.00	$7,373.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $586.20 / $902.72 / $2,217.35	Professional		$586.20	$902.72	$2,217.35
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 $851.56 / $1,142.32 / $3,482.01	Professional		$851.56	$1,142.32	$3,482.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $485.11 / $974.64 / $1,315.76	Professional		$485.11	$974.64	$1,315.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $874.81 / $1,120.83 / $2,014.95	Professional		$874.81	$1,120.83	$2,014.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,631.57 / $14,302.50	Facility		$55.00	$5,631.57	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,364.24 / $6,506.48 / $7,261.43	Professional		$6,364.24	$6,506.48	$7,261.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.30 / $1,120.83 / $1,573.82	Facility		$854.30	$1,120.83	$1,573.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $865.68 / $1,150.16 / $2,484.98	Professional		$865.68	$1,150.16	$2,484.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,859.03 / $2,859.03 / $2,859.03	Professional		$2,859.03	$2,859.03	$2,859.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $485.11 / $824.68 / $1,082.00	Professional		$485.11	$824.68	$1,082.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,483.00 / $17,471.00	Facility		$3,800.00	$7,483.00	$17,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.85 / $1,061.77 / $2,877.01	Professional		$707.85	$1,061.77	$2,877.01