Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,695.00 / $17,902.00	Facility		$2,387.00	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.06 / $1,073.69 / $4,128.22	Professional		$925.06	$1,073.69	$4,128.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,099.72 / $1,479.98 / $2,927.41	Professional		$1,099.72	$1,479.98	$2,927.41
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 $673.88 / $1,042.54 / $2,548.98	Professional		$673.88	$1,042.54	$2,548.98
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 $953.67 / $1,247.52 / $3,765.99	Professional		$953.67	$1,247.52	$3,765.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $447.88 / $1,052.92 / $1,421.44	Professional		$447.88	$1,052.92	$1,421.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $944.90 / $1,210.85 / $2,176.44	Professional		$944.90	$1,210.85	$2,176.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,475.68 / $26,542.00 / $27,110.45	Facility		$3,475.68	$26,542.00	$27,110.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,877.00 / $7,026.40 / $7,844.63	Professional		$6,877.00	$7,026.40	$7,844.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $993.77 / $1,316.00 / $1,814.53	Facility		$993.77	$1,316.00	$1,814.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $964.26 / $1,250.35 / $2,682.36	Professional		$964.26	$1,250.35	$2,682.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,091.57 / $3,091.57 / $3,091.57	Professional		$3,091.57	$3,091.57	$3,091.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $447.88 / $790.73 / $1,168.90	Professional		$447.88	$790.73	$1,168.90
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.53 / $1,123.91 / $2,952.50	Professional		$791.53	$1,123.91	$2,952.50