Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.38 / $9,639.00 / $20,509.00	Facility		$823.38	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.17 / $823.38 / $4,338.47	Professional		$725.17	$823.38	$4,338.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.40 / $1,278.43 / $2,458.01	Professional		$975.40	$1,278.43	$2,458.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $598.29 / $928.30 / $2,263.10	Professional		$598.29	$928.30	$2,263.10
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 $787.14 / $1,041.89 / $2,978.12	Professional		$787.14	$1,041.89	$2,978.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $916.51 / $1,237.29	Professional		$709.38	$916.51	$1,237.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.37 / $1,067.94 / $1,908.37	Professional		$825.37	$1,067.94	$1,908.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,613.79 / $12,623.50	Facility		$55.00	$5,613.79	$12,623.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,984.24 / $6,172.08 / $7,476.90	Professional		$5,984.24	$6,172.08	$7,476.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $854.35 / $1,094.38 / $1,621.30	Facility		$854.35	$1,094.38	$1,621.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $787.14 / $1,073.95 / $2,375.21	Professional		$787.14	$1,073.95	$2,375.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,691.93 / $2,691.93 / $2,691.93	Professional		$2,691.93	$2,691.93	$2,691.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $993.13 / $1,205.95	Professional		$709.38	$993.13	$1,205.95
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 $690.48 / $1,006.68 / $2,571.96	Professional		$690.48	$1,006.68	$2,571.96