Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Facility		$1,500.00	$1,500.00	$1,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $2,500.00	Professional		$1,500.00	$1,500.00	$2,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $15,040.47	Facility		$244.00	$614.00	$15,040.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,440.00 / $1,872.00 / $3,254.40	Professional		$1,440.00	$1,872.00	$3,254.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,170.51 / $8,465.89	Facility		$92.60	$2,170.51	$8,465.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,365.95 / $1,951.36 / $4,905.52	Professional		$1,365.95	$1,951.36	$4,905.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.65 / $5,034.51 / $10,049.50	Facility		$2,040.65	$5,034.51	$10,049.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,401.67 / $3,002.09 / $4,052.82	Professional		$2,401.67	$3,002.09	$4,052.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,701.88 / $3,452.40 / $5,733.99	Professional		$2,701.88	$3,452.40	$5,733.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,223.64 / $14,259.93 / $14,259.93	Facility		$5,223.64	$14,259.93	$14,259.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,010.45 / $15,010.45 / $22,515.68	Professional		$15,010.45	$15,010.45	$22,515.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,071.26 / $4,312.51 / $9,093.34	Facility		$2,071.26	$4,312.51	$9,093.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,302.30 / $4,503.14	Professional		$3,002.09	$3,302.30	$4,503.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,002.09 / $3,002.09 / $3,002.09	Professional		$3,002.09	$3,002.09	$3,002.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,401.67 / $2,701.88 / $4,082.84	Professional		$2,401.67	$2,701.88	$4,082.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,260.88 / $1,356.07 / $6,025.19	Professional		$1,260.88	$1,356.07	$6,025.19