Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,782.00 / $19,331.00	Facility		$2,387.00	$8,782.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.80 / $871.87 / $4,527.42	Professional		$649.80	$871.87	$4,527.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $9,256.00 / $18,544.00	Facility		$2,400.00	$9,256.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $823.63 / $1,119.96 / $2,174.58	Professional		$823.63	$1,119.96	$2,174.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,263.00	Facility		$66.00	$100.00	$11,263.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $567.42 / $821.60 / $1,894.02	Professional		$567.42	$821.60	$1,894.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $2,977.65 / $4,058.71	Facility		$802.88	$2,977.65	$4,058.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.85 / $1,009.21 / $2,301.42	Professional		$724.85	$1,009.21	$2,301.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,113.33 / $1,408.50	Professional		$744.60	$1,113.33	$1,408.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.10 / $1,060.04 / $1,998.13	Professional		$797.10	$1,060.04	$1,998.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,868.45 / $11,879.05 / $26,542.00	Facility		$3,868.45	$11,879.05	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,186.64 / $6,380.32 / $6,997.73	Professional		$6,186.64	$6,380.32	$6,997.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $886.62 / $1,101.79 / $1,944.65	Facility		$886.62	$1,101.79	$1,944.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $726.12 / $1,085.19 / $2,357.90	Professional		$726.12	$1,085.19	$2,357.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,809.19 / $2,809.19 / $2,809.19	Professional		$2,809.19	$2,809.19	$2,809.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $818.06 / $1,116.90 / $1,596.30	Professional		$818.06	$1,116.90	$1,596.30
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 $654.75 / $849.45 / $1,909.61	Professional		$654.75	$849.45	$1,909.61