Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,124.62 / $7,368.00 / $17,393.00	Facility		$2,124.62	$7,368.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.57 / $1,814.33 / $8,487.31	Professional		$396.57	$1,814.33	$8,487.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.19 / $1,626.96 / $4,517.75	Professional		$556.19	$1,626.96	$4,517.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $14,838.70	Facility		$66.70	$100.00	$14,838.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $479.37 / $1,569.70 / $4,086.18	Professional		$479.37	$1,569.70	$4,086.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,563.55 / $4,211.47 / $9,921.86	Facility		$3,563.55	$4,211.47	$9,921.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.55 / $1,935.67 / $5,181.71	Professional		$459.55	$1,935.67	$5,181.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $518.63 / $737.76 / $2,669.58	Professional		$518.63	$737.76	$2,669.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $466.77 / $1,471.63 / $3,007.45	Professional		$466.77	$1,471.63	$3,007.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,916.79 / $12,131.00 / $26,542.00	Facility		$2,916.79	$12,131.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,468.12 / $12,212.32 / $13,320.08	Professional		$6,468.12	$12,212.32	$13,320.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.96 / $1,863.48 / $3,285.63	Facility		$537.96	$1,863.48	$3,285.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $467.98 / $2,030.37 / $4,766.17	Professional		$467.98	$2,030.37	$4,766.17
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,140.00 / $8,140.00 / $8,140.00	Facility		$8,140.00	$8,140.00	$8,140.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,460.70 / $1,460.70 / $6,110.62	Professional		$1,460.70	$1,460.70	$6,110.62
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 $1,450.41 / $2,128.00 / $5,838.28	Professional		$1,450.41	$2,128.00	$5,838.28