Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,220.98 / $6,880.00 / $19,860.00	Facility		$2,220.98	$6,880.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $414.35 / $2,220.98	Professional		$366.14	$414.35	$2,220.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $494.15 / $671.66 / $1,245.26	Professional		$494.15	$671.66	$1,245.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,426.45	Facility		$66.00	$100.00	$8,426.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $281.95 / $440.70 / $1,066.51	Professional		$281.95	$440.70	$1,066.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.56 / $3,322.76 / $7,828.13	Facility		$2,811.56	$3,322.76	$7,828.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.06 / $527.70 / $1,482.85	Professional		$386.06	$527.70	$1,482.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $496.19 / $608.04 / $912.06	Professional		$496.19	$608.04	$912.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.94 / $567.73 / $999.20	Professional		$436.94	$567.73	$999.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,596.60 / $12,623.50 / $26,542.00	Facility		$1,596.60	$12,623.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,113.28 / $3,221.28 / $3,649.58	Professional		$3,113.28	$3,221.28	$3,649.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.06 / $567.00 / $925.15	Facility		$443.06	$567.00	$925.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $563.51 / $1,193.24	Professional		$401.45	$563.51	$1,193.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,378.07 / $1,378.07 / $1,378.07	Professional		$1,378.07	$1,378.07	$1,378.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $443.06 / $550.78 / $1,033.67	Professional		$443.06	$550.78	$1,033.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $316.95 / $463.22 / $1,358.80	Professional		$316.95	$463.22	$1,358.80