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 / $19,011.00	Facility		$2,197.85	$7,858.00	$19,011.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $814.72 / $961.96 / $5,258.98	Professional		$814.72	$961.96	$5,258.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,130.51 / $1,494.98 / $2,855.00	Professional		$1,130.51	$1,494.98	$2,855.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,150.11	Facility		$66.00	$100.00	$10,150.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $686.70 / $1,070.48 / $2,597.48	Professional		$686.70	$1,070.48	$2,597.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.66 / $4,004.78 / $9,434.92	Facility		$3,388.66	$4,004.78	$9,434.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.88 / $1,271.16 / $3,465.70	Professional		$935.88	$1,271.16	$3,465.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $628.44 / $1,135.63 / $1,533.10	Professional		$628.44	$1,135.63	$1,533.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.07 / $1,307.52 / $2,331.98	Professional		$1,022.07	$1,307.52	$2,331.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,722.52 / $15,214.55 / $26,542.00	Facility		$6,722.52	$15,214.55	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,891.25 / $11,940.77 / $11,940.77	Professional		$8,891.25	$11,940.77	$11,940.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,036.24 / $1,303.49 / $1,817.01	Facility		$1,036.24	$1,303.49	$1,817.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.98 / $1,298.83 / $2,877.28	Professional		$954.98	$1,298.83	$2,877.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,263.08 / $3,263.08 / $3,263.08	Professional		$3,263.08	$3,263.08	$3,263.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $628.44 / $1,030.00 / $1,258.88	Professional		$628.44	$1,030.00	$1,258.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.62 / $1,139.81 / $3,211.03	Professional		$784.62	$1,139.81	$3,211.03