Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,782.00 / $19,331.00	Facility		$2,387.00	$8,782.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.52 / $1,363.47 / $6,749.84	Professional		$975.52	$1,363.47	$6,749.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $9,256.00 / $18,544.00	Facility		$2,400.00	$9,256.00	$18,544.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.97 / $1,660.11 / $3,171.95	Professional		$1,114.97	$1,660.11	$3,171.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $863.08 / $1,249.06 / $2,869.97	Professional		$863.08	$1,249.06	$2,869.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $2,256.40 / $3,075.60	Facility		$802.88	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,085.93 / $1,488.53 / $3,407.54	Professional		$1,085.93	$1,488.53	$3,407.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,585.99 / $2,141.09	Professional		$843.26	$1,585.99	$2,141.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.39 / $1,645.34 / $3,098.00	Professional		$1,237.39	$1,645.34	$3,098.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,142.52 / $9,285.06 / $26,542.00	Facility		$7,142.52	$9,285.06	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,497.04 / $9,849.44 / $10,810.43	Professional		$9,497.04	$9,849.44	$10,810.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,359.50 / $1,676.84 / $2,519.40	Facility		$1,359.50	$1,676.84	$2,519.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.04 / $1,616.19 / $3,521.50	Professional		$1,117.04	$1,616.19	$3,521.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,188.14 / $4,188.14 / $4,188.14	Professional		$4,188.14	$4,188.14	$4,188.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,063.42 / $1,433.54 / $1,807.81	Professional		$1,063.42	$1,433.54	$1,807.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $972.81 / $1,245.46 / $2,855.41	Professional		$972.81	$1,245.46	$2,855.41