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 $909.49 / $968.76 / $6,247.56	Professional		$909.49	$968.76	$6,247.56
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 $1,158.74 / $1,574.98 / $3,394.81	Professional		$1,158.74	$1,574.98	$3,394.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $7,506.48	Facility		$64.40	$100.00	$7,506.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $631.77 / $987.74 / $2,439.87	Professional		$631.77	$987.74	$2,439.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $964.27 / $1,436.09 / $4,161.49	Professional		$964.27	$1,436.09	$4,161.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $972.08 / $1,441.30 / $1,729.56	Professional		$972.08	$1,441.30	$1,729.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.34 / $1,607.26 / $2,855.18	Professional		$1,236.34	$1,607.26	$2,855.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,812.49 / $13,960.05	Facility		$55.00	$7,812.49	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,762.00 / $8,991.20 / $10,207.65	Professional		$8,762.00	$8,991.20	$10,207.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,150.44 / $1,520.69 / $2,306.08	Facility		$1,150.44	$1,520.69	$2,306.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $993.76 / $1,486.61 / $3,295.00	Professional		$993.76	$1,486.61	$3,295.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,876.49 / $3,876.49 / $3,876.49	Professional		$3,876.49	$3,876.49	$3,876.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $972.08 / $1,458.11 / $1,838.80	Professional		$972.08	$1,458.11	$1,838.80
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 $836.07 / $1,319.75 / $3,865.22	Professional		$836.07	$1,319.75	$3,865.22