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 $898.20 / $1,015.65 / $4,970.59	Professional		$898.20	$1,015.65	$4,970.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $8,530.00 / $17,774.00	Facility		$3,738.00	$8,530.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.05 / $1,461.57 / $2,807.15	Professional		$1,086.05	$1,461.57	$2,807.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,620.13	Facility		$64.20	$100.00	$5,620.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $682.82 / $1,052.57 / $2,582.80	Professional		$682.82	$1,052.57	$2,582.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.04 / $1,238.08 / $3,808.70	Professional		$935.04	$1,238.08	$3,808.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $781.83 / $1,048.57 / $1,258.28	Professional		$781.83	$1,048.57	$1,258.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $943.16 / $1,206.48 / $2,143.53	Professional		$943.16	$1,206.48	$2,143.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,945.12 / $8,784.64	Facility		$55.00	$6,945.12	$8,784.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,865.12 / $7,015.76 / $7,835.03	Professional		$6,865.12	$7,015.76	$7,835.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,005.10 / $1,293.43 / $1,841.22	Facility		$1,005.10	$1,293.43	$1,841.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $940.47 / $1,243.41 / $2,676.77	Professional		$940.47	$1,243.41	$2,676.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,084.14 / $3,084.14 / $3,084.14	Professional		$3,084.14	$3,084.14	$3,084.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $781.83 / $1,164.02 / $1,478.93	Professional		$781.83	$1,164.02	$1,478.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.13 / $1,161.35 / $3,002.82	Professional		$764.13	$1,161.35	$3,002.82