Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.00 / $7,175.00 / $17,809.00	Facility		$1,992.00	$7,175.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.90 / $664.95 / $3,469.72	Professional		$515.90	$664.95	$3,469.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,484.00 / $17,774.00	Facility		$2,275.00	$8,484.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.80 / $882.45 / $1,696.66	Professional		$602.80	$882.45	$1,696.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,724.66	Facility		$66.00	$100.00	$9,724.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $433.53 / $627.92 / $1,444.39	Professional		$433.53	$627.92	$1,444.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $2,256.40 / $3,075.60	Facility		$705.31	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $557.57 / $780.60 / $1,774.27	Professional		$557.57	$780.60	$1,774.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $521.22 / $781.83 / $1,054.88	Professional		$521.22	$781.83	$1,054.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.79 / $816.71 / $1,539.01	Professional		$613.79	$816.71	$1,539.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,565.50 / $11,500.00 / $26,542.00	Facility		$3,565.50	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,606.00 / $5,606.00 / $5,606.00	Professional		$5,606.00	$5,606.00	$5,606.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $678.35 / $839.46 / $1,276.63	Facility		$678.35	$839.46	$1,276.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $557.57 / $832.95 / $1,799.30	Professional		$557.57	$832.95	$1,799.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,152.89 / $2,152.89 / $2,152.89	Professional		$2,152.89	$2,152.89	$2,152.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $631.59 / $781.83 / $1,117.41	Professional		$631.59	$781.83	$1,117.41
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 $502.36 / $649.60 / $1,464.83	Professional		$502.36	$649.60	$1,464.83