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 $907.63 / $1,001.31 / $4,897.03	Professional		$907.63	$1,001.31	$4,897.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,144.00 / $1,499.41 / $2,882.88	Professional		$1,144.00	$1,499.41	$2,882.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,168.75	Facility		$66.00	$100.00	$8,168.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $660.17 / $1,019.95 / $2,497.14	Professional		$660.17	$1,019.95	$2,497.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.53 / $1,263.91 / $3,860.07	Professional		$975.53	$1,263.91	$3,860.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $860.39 / $1,085.01 / $1,355.77	Professional		$860.39	$1,085.01	$1,355.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $932.91 / $1,199.33 / $2,152.01	Professional		$932.91	$1,199.33	$2,152.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,426.92 / $5,444.45 / $26,542.00	Facility		$3,426.92	$5,444.45	$26,542.00
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 $998.58 / $1,263.09 / $1,779.45	Facility		$998.58	$1,263.09	$1,779.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.53 / $1,276.35 / $2,644.39	Professional		$975.53	$1,276.35	$2,644.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,038.51 / $3,038.51 / $3,038.51	Professional		$3,038.51	$3,038.51	$3,038.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $860.39 / $1,157.83 / $1,627.52	Professional		$860.39	$1,157.83	$1,627.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $22,073.00	Facility		$4,331.00	$9,758.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $778.36 / $1,180.96 / $3,122.07	Professional		$778.36	$1,180.96	$3,122.07