Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,624.00 / $9,571.00 / $20,509.00	Facility		$3,624.00	$9,571.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $868.67 / $994.39 / $4,400.08	Professional		$868.67	$994.39	$4,400.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,311.00 / $18,150.00	Facility		$3,204.00	$9,311.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,137.05 / $1,545.50 / $3,002.02	Professional		$1,137.05	$1,545.50	$3,002.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,806.52	Facility		$66.00	$100.00	$10,806.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $622.16 / $957.72 / $2,336.19	Professional		$622.16	$957.72	$2,336.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $12,122.00 / $14,932.00	Facility		$6,185.09	$12,122.00	$14,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $853.28 / $1,121.06 / $3,229.07	Professional		$853.28	$1,121.06	$3,229.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $933.87 / $1,260.72	Professional		$800.08	$933.87	$1,260.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.48 / $1,074.76 / $1,912.38	Professional		$840.48	$1,074.76	$1,912.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,455.38 / $12,650.00 / $27,770.10	Facility		$5,455.38	$12,650.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,470.17 / $8,470.17 / $8,470.17	Professional		$8,470.17	$8,470.17	$8,470.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.67 / $1,121.42 / $1,630.84	Facility		$868.67	$1,121.42	$1,630.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.94 / $1,146.26 / $2,404.12	Professional		$855.94	$1,146.26	$2,404.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,730.16 / $2,730.16 / $2,730.16	Professional		$2,730.16	$2,730.16	$2,730.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $1,036.15 / $1,360.13	Professional		$800.08	$1,036.15	$1,360.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,205.00 / $30,330.00	Facility		$7,696.00	$13,205.00	$30,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.31 / $1,023.12 / $2,815.27	Professional		$703.31	$1,023.12	$2,815.27