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 $745.33 / $927.03 / $2,211.57	Professional		$745.33	$927.03	$2,211.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $866.54 / $1,353.09 / $2,537.61	Professional		$866.54	$1,353.09	$2,537.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $688.74 / $999.21 / $2,303.85	Professional		$688.74	$999.21	$2,303.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,458.73 / $1,988.34	Facility		$571.29	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.77 / $1,117.99 / $2,501.92	Professional		$825.77	$1,117.99	$2,501.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $1,084.88 / $1,464.59	Professional		$632.54	$1,084.88	$1,464.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.08 / $1,140.20 / $2,192.87	Professional		$858.08	$1,140.20	$2,192.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,023.97 / $6,459.96 / $26,542.00	Facility		$5,023.97	$6,459.96	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,689.76 / $6,873.52 / $7,568.63	Professional		$6,689.76	$6,873.52	$7,568.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.62 / $1,233.73 / $1,848.00	Facility		$977.62	$1,233.73	$1,848.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $838.73 / $1,218.00 / $2,539.35	Professional		$838.73	$1,218.00	$2,539.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,039.77 / $3,039.77 / $3,039.77	Professional		$3,039.77	$3,039.77	$3,039.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $797.68 / $986.36 / $1,356.06	Professional		$797.68	$986.36	$1,356.06
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 $727.22 / $923.01 / $2,511.56	Professional		$727.22	$923.01	$2,511.56