Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $17,902.00	Facility		$2,387.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $893.39 / $1,033.07 / $4,939.21	Professional		$893.39	$1,033.07	$4,939.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.75 / $1,432.72 / $2,740.73	Professional		$1,078.75	$1,432.72	$2,740.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $641.17 / $987.59 / $2,425.31	Professional		$641.17	$987.59	$2,425.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.34 / $1,229.92 / $3,740.31	Professional		$930.34	$1,229.92	$3,740.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,044.35 / $1,435.97	Professional		$759.12	$1,044.35	$1,435.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.98 / $1,201.01 / $2,158.44	Professional		$936.98	$1,201.01	$2,158.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,446.20 / $9,388.90 / $26,542.00	Facility		$3,446.20	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,714.00 / $9,714.00 / $9,714.00	Professional		$9,714.00	$9,714.00	$9,714.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $964.79 / $1,305.45 / $1,968.00	Facility		$964.79	$1,305.45	$1,968.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $955.92 / $1,237.08 / $2,660.80	Professional		$955.92	$1,237.08	$2,660.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,064.68 / $3,064.68 / $3,064.68	Professional		$3,064.68	$3,064.68	$3,064.68
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 $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.53 / $1,122.51 / $3,162.57	Professional		$758.53	$1,122.51	$3,162.57