Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $823.57 / $1,018.31 / $5,571.92	Professional		$823.57	$1,018.31	$5,571.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.19 / $1,534.21 / $3,033.17	Professional		$1,167.19	$1,534.21	$3,033.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $743.34 / $1,171.71 / $2,846.74	Professional		$743.34	$1,171.71	$2,846.74
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 $975.36 / $1,346.36 / $3,807.89	Professional		$975.36	$1,346.36	$3,807.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,305.17 / $1,761.98	Professional		$893.52	$1,305.17	$1,761.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.52 / $1,443.68 / $2,572.11	Professional		$1,110.52	$1,443.68	$2,572.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,993.16 / $16,547.20 / $26,542.00	Facility		$5,993.16	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,843.76 / $8,127.20 / $9,147.90	Professional		$7,843.76	$8,127.20	$9,147.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.23 / $1,394.96 / $1,977.15	Facility		$1,052.23	$1,394.96	$1,977.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.36 / $1,438.44 / $3,126.60	Professional		$975.36	$1,438.44	$3,126.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,457.26 / $3,457.26 / $3,457.26	Professional		$3,457.26	$3,457.26	$3,457.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,340.28 / $1,690.20	Professional		$893.52	$1,340.28	$1,690.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,313.00 / $26,451.00	Facility		$5,835.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $812.44 / $1,204.68 / $3,437.35	Professional		$812.44	$1,204.68	$3,437.35