Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $9,163.00 / $21,960.90	Facility		$3,546.09	$9,163.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.30 / $828.89 / $4,276.18	Professional		$751.30	$828.89	$4,276.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,596.00 / $18,150.00	Facility		$4,108.00	$9,596.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.06 / $951.53 / $2,303.64	Professional		$707.06	$951.53	$2,303.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,052.99	Facility		$66.00	$100.00	$11,052.99
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $590.91 / $895.80 / $2,210.37	Professional		$590.91	$895.80	$2,210.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $13,334.00 / $14,932.00	Facility		$6,185.09	$13,334.00	$14,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.87 / $1,058.01 / $3,194.55	Professional		$802.87	$1,058.01	$3,194.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $698.81 / $898.06 / $1,212.38	Professional		$698.81	$898.06	$1,212.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.25 / $1,034.27 / $1,842.21	Professional		$808.25	$1,034.27	$1,842.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,267.36 / $5,897.00 / $27,770.10	Facility		$5,267.36	$5,897.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,855.60 / $6,029.68 / $6,857.40	Professional		$5,855.60	$6,029.68	$6,857.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.96 / $1,025.00 / $1,449.23	Facility		$819.96	$1,025.00	$1,449.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $802.87 / $1,064.08 / $2,398.76	Professional		$802.87	$1,064.08	$2,398.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,653.30 / $2,653.30 / $2,653.30	Professional		$2,653.30	$2,653.30	$2,653.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $698.81 / $978.33 / $1,187.97	Professional		$698.81	$978.33	$1,187.97
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,651.00 / $29,571.00	Facility		$6,385.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.12 / $979.84 / $2,939.66	Professional		$668.12	$979.84	$2,939.66