Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $790.15 / $880.27 / $4,813.22	Professional		$790.15	$880.27	$4,813.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $911.80 / $1,270.28 / $2,618.59	Professional		$911.80	$1,270.28	$2,618.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $667.66 / $1,051.91 / $2,525.46	Professional		$667.66	$1,051.91	$2,525.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.53 / $1,180.34 / $3,338.82	Professional		$877.53	$1,180.34	$3,338.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $769.92 / $1,090.79 / $1,472.57	Professional		$769.92	$1,090.79	$1,472.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.24 / $1,213.21 / $2,157.21	Professional		$933.24	$1,213.21	$2,157.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,048.82 / $16,547.20 / $26,542.00	Facility		$5,048.82	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,141.02 / $7,141.02 / $7,699.65	Professional		$7,141.02	$7,141.02	$7,699.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.24 / $1,209.33 / $1,989.55	Facility		$933.24	$1,209.33	$1,989.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $877.53 / $1,220.70 / $2,636.88	Professional		$877.53	$1,220.70	$2,636.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,986.52 / $2,986.52 / $2,986.52	Professional		$2,986.52	$2,986.52	$2,986.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $769.92 / $1,154.86 / $1,456.39	Professional		$769.92	$1,154.86	$1,456.39
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.56 / $1,062.74 / $3,064.52	Professional		$728.56	$1,062.74	$3,064.52