Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.48 / $937.84 / $4,674.68	Professional		$851.48	$937.84	$4,674.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.37 / $1,317.63 / $2,592.19	Professional		$1,017.37	$1,317.63	$2,592.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $669.05 / $1,060.93 / $2,549.14	Professional		$669.05	$1,060.93	$2,549.14
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 $870.73 / $1,166.17 / $3,271.61	Professional		$870.73	$1,166.17	$3,271.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $664.18 / $1,166.29 / $1,574.49	Professional		$664.18	$1,166.29	$1,574.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $963.46 / $1,281.53 / $2,255.48	Professional		$963.46	$1,281.53	$2,255.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,985.07 / $16,547.20 / $26,542.00	Facility		$5,985.07	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,299.54 / $7,299.54 / $7,873.20	Professional		$7,299.54	$7,299.54	$7,873.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $886.37 / $1,230.26 / $1,920.00	Facility		$886.37	$1,230.26	$1,920.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.78 / $1,260.13 / $2,697.56	Professional		$880.78	$1,260.13	$2,697.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,900.55 / $2,900.55 / $2,900.55	Professional		$2,900.55	$2,900.55	$2,900.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $664.18 / $1,060.43 / $1,296.08	Professional		$664.18	$1,060.43	$1,296.08
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 $698.61 / $1,047.91 / $3,223.96	Professional		$698.61	$1,047.91	$3,223.96