Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $5,980.00 / $16,973.00	Facility		$1,919.00	$5,980.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.77 / $848.36 / $4,265.22	Professional		$610.77	$848.36	$4,265.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,944.00 / $13,012.00	Facility		$2,097.00	$5,944.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.80 / $947.06 / $1,905.57	Professional		$670.80	$947.06	$1,905.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,300.60	Facility		$66.00	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $521.14 / $752.00 / $1,743.80	Professional		$521.14	$752.00	$1,743.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $2,256.40 / $3,075.60	Facility		$499.60	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $693.41 / $934.77 / $2,159.84	Professional		$693.41	$934.77	$2,159.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.98 / $1,057.10 / $1,427.10	Professional		$467.98	$1,057.10	$1,427.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.82 / $1,084.80 / $2,029.81	Professional		$815.82	$1,084.80	$2,029.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,656.78 / $11,500.00 / $16,394.00	Facility		$4,656.78	$11,500.00	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,180.56 / $6,446.40 / $7,078.13	Professional		$6,180.56	$6,446.40	$7,078.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $852.12 / $1,072.00 / $1,579.47	Facility		$852.12	$1,072.00	$1,579.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $703.40 / $1,042.66 / $2,253.86	Professional		$703.40	$1,042.66	$2,253.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,646.48 / $2,646.48 / $2,646.48	Professional		$2,646.48	$2,646.48	$2,646.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.16 / $842.37 / $1,175.15	Professional		$590.16	$842.37	$1,175.15
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,699.00 / $20,988.00	Facility		$4,331.00	$9,699.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $594.90 / $770.44 / $1,756.43	Professional		$594.90	$770.44	$1,756.43