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 $655.54 / $912.60 / $4,607.45	Professional		$655.54	$912.60	$4,607.45
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 $728.80 / $1,019.46 / $2,051.26	Professional		$728.80	$1,019.46	$2,051.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $560.27 / $808.79 / $1,876.62	Professional		$560.27	$808.79	$1,876.62
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 $745.44 / $1,006.70 / $2,332.05	Professional		$745.44	$1,006.70	$2,332.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $586.37 / $1,134.29 / $1,531.29	Professional		$586.37	$1,134.29	$1,531.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $876.51 / $1,165.83 / $2,177.92	Professional		$876.51	$1,165.83	$2,177.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,009.93 / $11,500.00 / $26,542.00	Facility		$5,009.93	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,650.48 / $6,926.24 / $7,611.30	Professional		$6,650.48	$6,926.24	$7,611.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $920.09 / $1,168.68 / $1,814.86	Facility		$920.09	$1,168.68	$1,814.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $751.02 / $1,126.90 / $2,448.67	Professional		$751.02	$1,126.90	$2,448.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,858.83 / $2,858.83 / $2,858.83	Professional		$2,858.83	$2,858.83	$2,858.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $739.46 / $996.83 / $1,260.91	Professional		$739.46	$996.83	$1,260.91
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 $634.22 / $823.79 / $2,163.41	Professional		$634.22	$823.79	$2,163.41