Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,229.00 / $17,380.00	Facility		$2,020.00	$6,229.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.66 / $986.36 / $5,452.45	Professional		$888.66	$986.36	$5,452.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,048.00 / $13,697.00	Facility		$2,456.00	$6,048.00	$13,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.82 / $1,670.38 / $3,215.82	Professional		$1,208.82	$1,670.38	$3,215.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $697.59 / $1,093.91 / $2,666.62	Professional		$697.59	$1,093.91	$2,666.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,518.35 / $1,794.42 / $4,227.49	Facility		$1,518.35	$1,794.42	$4,227.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,026.49 / $1,354.83 / $3,861.76	Professional		$1,026.49	$1,354.83	$3,861.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $1,155.02 / $1,596.54	Professional		$844.00	$1,155.02	$1,596.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.52 / $1,330.04 / $2,371.25	Professional		$1,039.52	$1,330.04	$2,371.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,869.30 / $6,817.20	Facility		$55.00	$4,869.30	$6,817.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,456.56 / $7,648.56 / $8,965.58	Professional		$7,456.56	$7,648.56	$8,965.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,034.50 / $1,304.49 / $1,848.03	Facility		$1,034.50	$1,304.49	$1,848.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,042.07 / $1,381.79 / $2,972.71	Professional		$1,042.07	$1,381.79	$2,972.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,383.15 / $3,383.15 / $3,383.15	Professional		$3,383.15	$3,383.15	$3,383.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $844.00 / $1,266.01 / $1,596.53	Professional		$844.00	$1,266.01	$1,596.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,218.00 / $10,979.00	Facility		$2,150.00	$4,218.00	$10,979.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.41 / $1,276.46 / $3,748.29	Professional		$878.41	$1,276.46	$3,748.29