Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.73 / $9,639.00 / $20,509.00	Facility		$1,145.73	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,041.19 / $1,181.41 / $5,974.00	Professional		$1,041.19	$1,181.41	$5,974.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,388.05 / $1,819.28 / $3,497.88	Professional		$1,388.05	$1,819.28	$3,497.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,011.98	Facility		$66.00	$100.00	$8,011.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $853.10 / $1,320.19 / $3,219.87	Professional		$853.10	$1,320.19	$3,219.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,115.08 / $2,499.65 / $5,888.95	Facility		$2,115.08	$2,499.65	$5,888.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.58 / $1,463.41 / $4,148.51	Professional		$1,111.58	$1,463.41	$4,148.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $884.70 / $1,289.04 / $1,740.20	Professional		$884.70	$1,289.04	$1,740.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.14 / $1,483.57 / $2,682.44	Professional		$1,160.14	$1,483.57	$2,682.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,304.20 / $9,496.40	Facility		$55.00	$4,304.20	$9,496.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,807.98 / $9,976.18 / $10,305.39	Professional		$9,807.98	$9,976.18	$10,305.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.38 / $1,452.90 / $2,062.46	Facility		$1,129.38	$1,452.90	$2,062.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.58 / $1,514.95 / $3,345.87	Professional		$1,111.58	$1,514.95	$3,345.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,770.35 / $3,770.35 / $3,770.35	Professional		$3,770.35	$3,770.35	$3,770.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $884.70 / $1,238.58 / $1,503.99	Professional		$884.70	$1,238.58	$1,503.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,610.00 / $7,384.00 / $16,148.00	Facility		$3,610.00	$7,384.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $934.98 / $1,378.82 / $4,120.96	Professional		$934.98	$1,378.82	$4,120.96