Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,537.00 / $17,133.00	Facility		$1,820.00	$6,537.00	$17,133.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $729.61 / $1,092.40 / $5,148.08	Professional		$729.61	$1,092.40	$5,148.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,945.00 / $13,707.00	Facility		$2,143.00	$6,945.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.41 / $1,234.63 / $2,409.10	Professional		$862.41	$1,234.63	$2,409.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,680.36	Facility		$66.00	$100.00	$7,680.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $640.77 / $927.49 / $2,134.96	Professional		$640.77	$927.49	$2,134.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,726.46 / $2,353.27	Facility		$571.29	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.48 / $1,139.16 / $2,588.25	Professional		$827.48	$1,139.16	$2,588.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,167.33 / $1,575.90	Professional		$505.96	$1,167.33	$1,575.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.42 / $1,218.50 / $2,295.83	Professional		$915.42	$1,218.50	$2,295.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,310.48 / $11,500.00 / $26,542.00	Facility		$5,310.48	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,068.48 / $7,307.36 / $8,020.95	Professional		$7,068.48	$7,307.36	$8,020.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $984.90 / $1,226.46 / $1,872.48	Facility		$984.90	$1,226.46	$1,872.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $858.42 / $1,223.60 / $2,679.76	Professional		$858.42	$1,223.60	$2,679.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,194.30 / $3,194.30 / $3,194.30	Professional		$3,194.30	$3,194.30	$3,194.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $910.72 / $1,297.36	Professional		$638.04	$910.72	$1,297.36
United Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $1,533.00 / $5,691.00	Facility		$545.00	$1,533.00	$5,691.00
United Facility/Professional Professional Modifier Low / Median / High Price $734.13 / $954.06 / $2,324.23	Professional		$734.13	$954.06	$2,324.23