Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,444.00 / $17,902.00	Facility		$1,992.00	$7,444.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.31 / $967.10 / $4,652.85	Professional		$663.31	$967.10	$4,652.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,592.00 / $17,774.00	Facility		$2,275.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $781.91 / $1,083.03 / $2,179.17	Professional		$781.91	$1,083.03	$2,179.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,004.98	Facility		$66.00	$100.00	$10,004.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $553.77 / $800.09 / $1,846.96	Professional		$553.77	$800.09	$1,846.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,977.65 / $4,058.71	Facility		$705.31	$2,977.65	$4,058.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $734.82 / $1,023.35 / $2,368.19	Professional		$734.82	$1,023.35	$2,368.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,055.73 / $1,425.24	Professional		$505.96	$1,055.73	$1,425.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.03 / $1,097.95 / $2,067.56	Professional		$824.03	$1,097.95	$2,067.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,758.06 / $11,879.05 / $26,542.00	Facility		$4,758.06	$11,879.05	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,327.84 / $6,538.96 / $7,199.78	Professional		$6,327.84	$6,538.96	$7,199.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.09 / $1,121.94 / $1,690.24	Facility		$903.09	$1,121.94	$1,690.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $734.82 / $1,102.07 / $2,415.85	Professional		$734.82	$1,102.07	$2,415.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,887.02 / $2,887.02 / $2,887.02	Professional		$2,887.02	$2,887.02	$2,887.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $893.27 / $1,173.43	Professional		$638.04	$893.27	$1,173.43
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 $659.09 / $862.37 / $2,182.12	Professional		$659.09	$862.37	$2,182.12