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 $662.75 / $891.11 / $4,649.08	Professional		$662.75	$891.11	$4,649.08
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 $781.16 / $1,081.98 / $2,177.05	Professional		$781.16	$1,081.98	$2,177.05
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 $550.82 / $795.45 / $1,837.78	Professional		$550.82	$795.45	$1,837.78
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 $731.47 / $1,023.48 / $2,366.26	Professional		$731.47	$1,023.48	$2,366.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,054.92 / $1,424.14	Professional		$505.96	$1,054.92	$1,424.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.39 / $1,097.11 / $2,065.94	Professional		$823.39	$1,097.11	$2,065.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,754.39 / $11,879.05 / $26,542.00	Facility		$4,754.39	$11,879.05	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,322.88 / $6,536.32 / $7,194.30	Professional		$6,322.88	$6,536.32	$7,194.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $900.42 / $1,117.00 / $1,688.94	Facility		$900.42	$1,117.00	$1,688.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.47 / $1,096.57 / $2,414.90	Professional		$731.47	$1,096.57	$2,414.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.67 / $2,884.67 / $2,884.67	Professional		$2,884.67	$2,884.67	$2,884.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $893.27 / $1,172.52	Professional		$638.04	$893.27	$1,172.52
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 $659.06 / $868.00 / $2,103.57	Professional		$659.06	$868.00	$2,103.57