Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,626.00 / $17,380.00	Facility		$1,820.00	$6,626.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.04 / $832.63 / $4,210.49	Professional		$601.04	$832.63	$4,210.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $14,981.00	Facility		$2,275.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.60 / $969.98 / $1,873.19	Professional		$668.60	$969.98	$1,873.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,190.83	Facility		$66.00	$100.00	$8,190.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $510.45 / $736.35 / $1,707.67	Professional		$510.45	$736.35	$1,707.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,256.40 / $3,075.60	Facility		$571.29	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $681.06 / $918.73 / $2,129.46	Professional		$681.06	$918.73	$2,129.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.03 / $1,045.58 / $1,411.53	Professional		$392.03	$1,045.58	$1,411.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $806.54 / $1,072.33 / $2,007.67	Professional		$806.54	$1,072.33	$2,007.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,601.88 / $11,500.00 / $26,542.00	Facility		$4,601.88	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,106.48 / $6,367.76 / $6,996.45	Professional		$6,106.48	$6,367.76	$6,996.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $821.07 / $1,037.81 / $1,516.09	Facility		$821.07	$1,037.81	$1,516.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $693.70 / $1,010.87 / $2,220.54	Professional		$693.70	$1,010.87	$2,220.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,612.52 / $2,612.52 / $2,612.52	Professional		$2,612.52	$2,612.52	$2,612.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $494.38 / $705.66 / $1,162.33	Professional		$494.38	$705.66	$1,162.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $584.84 / $782.95 / $1,911.22	Professional		$584.84	$782.95	$1,911.22