Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,188.00 / $8,830.00 / $20,135.00	Facility		$3,188.00	$8,830.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.34 / $761.80 / $3,508.00	Professional		$693.34	$761.80	$3,508.00
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 $812.19 / $1,131.05 / $2,275.79	Professional		$812.19	$1,131.05	$2,275.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $553.10 / $846.95 / $2,092.13	Professional		$553.10	$846.95	$2,092.13
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 $726.17 / $973.99 / $2,769.90	Professional		$726.17	$973.99	$2,769.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $385.09 / $850.20 / $1,147.77	Professional		$385.09	$850.20	$1,147.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.18 / $988.86 / $1,768.27	Professional		$765.18	$988.86	$1,768.27
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 $5,540.48 / $5,715.28 / $6,917.03	Professional		$5,540.48	$5,715.28	$6,917.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.95 / $993.99 / $1,443.75	Facility		$759.95	$993.99	$1,443.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $726.17 / $995.30 / $2,198.73	Professional		$726.17	$995.30	$2,198.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,489.76 / $2,489.76 / $2,489.76	Professional		$2,489.76	$2,489.76	$2,489.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $385.09 / $684.84 / $941.66	Professional		$385.09	$684.84	$941.66
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,555.00 / $29,312.00	Facility		$7,696.00	$13,555.00	$29,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.96 / $919.51 / $2,555.36	Professional		$644.96	$919.51	$2,555.36