Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.34 / $6,695.00 / $17,809.00	Facility		$1,324.34	$6,695.00	$17,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.51 / $1,200.48 / $7,072.35	Professional		$327.51	$1,200.48	$7,072.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,944.00 / $13,707.00	Facility		$2,143.00	$5,944.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.96 / $1,531.45 / $3,506.80	Professional		$499.96	$1,531.45	$3,506.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $390.92 / $1,000.62 / $2,230.16	Professional		$390.92	$1,000.62	$2,230.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,006.98 / $2,006.98 / $2,371.89	Facility		$2,006.98	$2,006.98	$2,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.88 / $1,072.29 / $2,660.22	Professional		$373.88	$1,072.29	$2,660.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $262.47 / $496.50 / $2,038.46	Professional		$262.47	$496.50	$2,038.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.84 / $1,092.64 / $2,040.15	Professional		$382.84	$1,092.64	$2,040.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,223.77 / $2,223.77 / $26,542.00	Facility		$2,223.77	$2,223.77	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,723.00 / $8,385.52 / $10,041.37	Professional		$5,723.00	$8,385.52	$10,041.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.12 / $1,208.33 / $2,159.57	Facility		$421.12	$1,208.33	$2,159.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.84 / $1,078.85 / $2,792.88	Professional		$382.84	$1,078.85	$2,792.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,220.58 / $1,220.58 / $4,388.26	Professional		$1,220.58	$1,220.58	$4,388.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,840.10 / $9,810.00 / $23,219.00	Facility		$4,840.10	$9,810.00	$23,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,080.66 / $1,508.90 / $3,977.75	Professional		$1,080.66	$1,508.90	$3,977.75