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 $774.22 / $1,086.55 / $5,345.53	Professional		$774.22	$1,086.55	$5,345.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $14,981.00	Facility		$2,275.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.75 / $1,251.59 / $2,518.36	Professional		$894.75	$1,251.59	$2,518.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,190.83	Facility		$66.00	$100.00	$8,190.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $672.59 / $972.73 / $2,236.54	Professional		$672.59	$972.73	$2,236.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,256.40 / $3,075.60	Facility		$571.29	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.46 / $1,177.52 / $2,695.04	Professional		$847.46	$1,177.52	$2,695.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,270.98 / $1,715.82	Professional		$505.96	$1,270.98	$1,715.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.11 / $1,321.90 / $2,468.00	Professional		$992.11	$1,321.90	$2,468.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,729.10 / $11,500.00 / $26,542.00	Facility		$5,729.10	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,619.12 / $7,882.64 / $8,669.10	Professional		$7,619.12	$7,882.64	$8,669.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.00 / $1,298.04 / $1,843.69	Facility		$1,005.00	$1,298.04	$1,843.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.95 / $1,275.65 / $2,786.71	Professional		$851.95	$1,275.65	$2,786.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,316.81 / $3,316.81 / $3,316.81	Professional		$3,316.81	$3,316.81	$3,316.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $910.72 / $1,412.66	Professional		$638.04	$910.72	$1,412.66
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $999.25 / $2,259.96	Professional		$768.60	$999.25	$2,259.96