Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $8,709.64 / $18,197.01	Facility		$2,951.21	$8,709.64	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,548.82 / $5,011.87	Professional		$416.87	$1,548.82	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,445.44 / $5,248.07	Professional		$562.34	$1,445.44	$5,248.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,165.95 / $16,595.87	Facility		$66.07	$6,165.95	$16,595.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,819.70 / $4,897.79	Professional		$512.86	$1,819.70	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $5,011.87	Facility		$3,548.13	$4,168.69	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,819.70 / $3,890.45	Professional		$457.09	$1,819.70	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $741.31 / $2,630.27	Professional		$457.09	$741.31	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,348.96 / $3,019.95	Professional		$416.87	$1,348.96	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $50,118.72 / $50,118.72	Facility		$15,848.93	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $13,182.57 / $13,182.57	Professional		$12,302.69	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,290.87	Professional		$1,348.96	$1,348.96	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,819.70 / $3,311.31	Facility		$489.78	$1,819.70	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,778.28 / $4,168.69	Professional		$457.09	$1,778.28	$4,168.69
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $6,165.95	Professional		$1,445.44	$1,445.44	$6,165.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $12,302.69 / $25,118.86	Facility		$6,918.31	$12,302.69	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,479.11 / $3,467.37	Professional		$389.05	$1,479.11	$3,467.37