Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,588.00 / $17,380.00	Facility		$1,820.00	$6,588.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $697.89 / $1,000.49 / $4,810.18	Professional		$697.89	$1,000.49	$4,810.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $7,007.00 / $14,981.00	Facility		$2,275.00	$7,007.00	$14,981.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $775.49 / $1,125.20 / $2,182.69	Professional		$775.49	$1,125.20	$2,182.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,263.42	Facility		$66.00	$100.00	$8,263.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $866.55 / $1,990.07	Professional		$600.00	$866.55	$1,990.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $2,256.40 / $3,075.60	Facility		$571.29	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.80 / $1,054.20 / $2,433.53	Professional		$783.80	$1,054.20	$2,433.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,177.08 / $1,412.51 / $2,225.11	Professional		$1,177.08	$1,412.51	$2,225.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.05 / $1,212.23 / $2,262.00	Professional		$911.05	$1,212.23	$2,262.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,217.47 / $11,500.00 / $26,542.00	Facility		$5,217.47	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,925.04 / $7,203.84 / $7,923.60	Professional		$6,925.04	$7,203.84	$7,923.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.86 / $1,214.21 / $1,706.78	Facility		$975.86	$1,214.21	$1,706.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $795.52 / $1,178.14 / $2,568.81	Professional		$795.52	$1,178.14	$2,568.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,984.61 / $2,984.61 / $2,984.61	Professional		$2,984.61	$2,984.61	$2,984.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $951.60 / $1,070.55 / $1,308.45	Professional		$951.60	$1,070.55	$1,308.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,884.00 / $9,324.00 / $20,217.00	Facility		$4,884.00	$9,324.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.41 / $878.36 / $2,040.66	Professional		$682.41	$878.36	$2,040.66