Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.14 / $6,211.00 / $17,030.00	Facility		$2,081.14	$6,211.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.29 / $1,875.61 / $3,925.44	Professional		$389.29	$1,875.61	$3,925.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $7,028.00 / $13,707.00	Facility		$3,222.00	$7,028.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.65 / $3,039.37 / $6,079.46	Professional		$599.65	$3,039.37	$6,079.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,238.60	Facility		$66.00	$100.00	$5,238.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $385.32 / $1,393.26 / $3,667.85	Professional		$385.32	$1,393.26	$3,667.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,688.05 / $1,994.97 / $4,699.97	Facility		$1,688.05	$1,994.97	$4,699.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.07 / $1,897.30 / $5,132.39	Professional		$401.07	$1,897.30	$5,132.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $444.74 / $1,696.94 / $2,538.04	Professional		$444.74	$1,696.94	$2,538.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $399.86 / $1,334.29 / $3,079.01	Professional		$399.86	$1,334.29	$3,079.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,636.22 / $2,692.86	Facility		$55.00	$2,636.22	$2,692.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,922.27 / $11,479.68 / $13,502.70	Professional		$5,922.27	$11,479.68	$13,502.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $449.01 / $1,630.06 / $2,779.58	Facility		$449.01	$1,630.06	$2,779.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.90 / $1,941.12 / $4,772.33	Professional		$415.90	$1,941.12	$4,772.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,233.66 / $1,233.66 / $6,086.75	Professional		$1,233.66	$1,233.66	$6,086.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $404.11 / $1,710.51 / $2,545.42	Professional		$404.11	$1,710.51	$2,545.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $16,148.00	Facility		$3,523.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,484.23 / $2,331.44 / $5,547.44	Professional		$1,484.23	$2,331.44	$5,547.44