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 $598.46 / $835.96 / $4,157.64	Professional		$598.46	$835.96	$4,157.64
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 $698.06 / $976.46 / $1,964.74	Professional		$698.06	$976.46	$1,964.74
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 $514.47 / $744.95 / $1,713.19	Professional		$514.47	$744.95	$1,713.19
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 $656.14 / $909.49 / $2,096.00	Professional		$656.14	$909.49	$2,096.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $558.45 / $978.68 / $1,321.22	Professional		$558.45	$978.68	$1,321.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.54 / $1,018.51 / $1,916.00	Professional		$764.54	$1,018.51	$1,916.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,418.22 / $11,500.00 / $26,542.00	Facility		$4,418.22	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,512.52 / $7,512.52 / $7,512.52	Professional		$7,512.52	$7,512.52	$7,512.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $832.61 / $1,035.77 / $1,550.40	Facility		$832.61	$1,035.77	$1,550.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $657.75 / $987.33 / $2,163.61	Professional		$657.75	$987.33	$2,163.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,579.75 / $2,579.75 / $2,579.75	Professional		$2,579.75	$2,579.75	$2,579.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $704.25 / $889.99 / $1,197.23	Professional		$704.25	$889.99	$1,197.23
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 $599.66 / $777.35 / $1,911.91	Professional		$599.66	$777.35	$1,911.91