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 / $18,252.00	Facility		$2,197.85	$6,695.00	$18,252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.00 / $1,044.93 / $5,243.69	Professional		$971.00	$1,044.93	$5,243.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,156.65 / $1,500.98 / $2,963.51	Professional		$1,156.65	$1,500.98	$2,963.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $696.59 / $1,074.52 / $2,634.91	Professional		$696.59	$1,074.52	$2,634.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,038.17 / $7,136.02 / $16,811.84	Facility		$6,038.17	$7,136.02	$16,811.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $987.79 / $1,315.17 / $4,040.98	Professional		$987.79	$1,315.17	$4,040.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,106.19 / $1,493.36	Professional		$759.12	$1,106.19	$1,493.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $993.34 / $1,272.28 / $2,287.55	Professional		$993.34	$1,272.28	$2,287.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,654.64 / $26,542.00 / $27,110.45	Facility		$3,654.64	$26,542.00	$27,110.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,596.00 / $8,596.00 / $8,596.00	Professional		$8,596.00	$8,596.00	$8,596.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,044.93 / $1,384.93 / $1,887.77	Facility		$1,044.93	$1,384.93	$1,887.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,016.01 / $1,330.13 / $2,824.23	Professional		$1,016.01	$1,330.13	$2,824.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,253.60 / $3,253.60 / $3,253.60	Professional		$3,253.60	$3,253.60	$3,253.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,138.68 / $1,435.97	Professional		$759.12	$1,138.68	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,810.00 / $22,073.00	Facility		$4,728.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.57 / $1,182.44 / $3,513.81	Professional		$805.57	$1,182.44	$3,513.81