Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.95 / $9,639.00 / $20,509.00	Facility		$1,034.95	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.94 / $992.15 / $4,870.93	Professional		$876.94	$992.15	$4,870.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.02 / $8,886.00 / $18,332.29	Facility		$3,958.02	$8,886.00	$18,332.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,060.35 / $1,439.44 / $2,715.18	Professional		$1,060.35	$1,439.44	$2,715.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $665.04 / $1,026.82 / $2,515.57	Professional		$665.04	$1,026.82	$2,515.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.29 / $1,208.96 / $3,668.53	Professional		$916.29	$1,208.96	$3,668.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $756.14 / $1,033.22 / $1,239.85	Professional		$756.14	$1,033.22	$1,239.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.73 / $1,188.20 / $2,108.28	Professional		$926.73	$1,188.20	$2,108.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,816.08 / $8,628.56	Facility		$55.00	$6,816.08	$8,628.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,738.80 / $6,888.32 / $7,692.15	Professional		$6,738.80	$6,888.32	$7,692.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.92 / $1,261.07 / $1,810.06	Facility		$986.92	$1,261.07	$1,810.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $919.91 / $1,209.77 / $2,627.00	Professional		$919.91	$1,209.77	$2,627.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,022.32 / $3,022.32 / $3,022.32	Professional		$3,022.32	$3,022.32	$3,022.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $756.14 / $1,134.21 / $1,430.33	Professional		$756.14	$1,134.21	$1,430.33
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 $742.52 / $1,135.93 / $3,041.31	Professional		$742.52	$1,135.93	$3,041.31