Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.14 / $993.85 / $4,852.66	Professional		$878.14	$993.85	$4,852.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,370.36 / $18,790.28	Facility		$3,518.00	$8,370.36	$18,790.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.72 / $1,375.85 / $2,691.68	Professional		$1,049.72	$1,375.85	$2,691.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $643.98 / $992.47 / $2,435.90	Professional		$643.98	$992.47	$2,435.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.28 / $1,208.36 / $3,668.82	Professional		$917.28	$1,208.36	$3,668.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $800.45 / $1,032.85 / $1,239.43	Professional		$800.45	$1,032.85	$1,239.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.40 / $1,187.79 / $2,107.53	Professional		$926.40	$1,187.79	$2,107.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $6,813.68 / $8,623.04	Facility		$2,000.00	$6,813.68	$8,623.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,127.82 / $7,127.82 / $7,689.53	Professional		$7,127.82	$7,127.82	$7,689.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.20 / $1,258.11 / $1,744.20	Facility		$986.20	$1,258.11	$1,744.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $943.00 / $1,222.65 / $2,621.32	Professional		$943.00	$1,222.65	$2,621.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,010.99 / $3,010.99 / $3,010.99	Professional		$3,010.99	$3,010.99	$3,010.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $800.45 / $1,146.64 / $1,514.14	Professional		$800.45	$1,146.64	$1,514.14
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.20 / $1,145.09 / $3,252.45	Professional		$767.20	$1,145.09	$3,252.45