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 $737.18 / $1,013.25 / $5,193.79	Professional		$737.18	$1,013.25	$5,193.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,282.00 / $8,774.00 / $18,030.00	Facility		$2,282.00	$8,774.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.25 / $1,218.10 / $2,427.62	Professional		$861.25	$1,218.10	$2,427.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,002.37	Facility		$66.00	$100.00	$11,002.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $659.34 / $953.87 / $2,194.10	Professional		$659.34	$953.87	$2,194.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $802.88 / $1,726.46 / $2,353.27	Facility		$802.88	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.13 / $1,145.54 / $2,616.63	Professional		$835.13	$1,145.54	$2,616.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $824.27 / $1,236.41 / $1,592.45	Professional		$824.27	$1,236.41	$1,592.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.27 / $1,230.52 / $2,318.25	Professional		$924.27	$1,230.52	$2,318.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,357.70 / $6,947.34 / $26,542.00	Facility		$5,357.70	$6,947.34	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,129.92 / $7,377.92 / $8,095.20	Professional		$7,129.92	$7,377.92	$8,095.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,026.97 / $1,251.36 / $1,758.07	Facility		$1,026.97	$1,251.36	$1,758.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.36 / $1,246.84 / $2,689.53	Professional		$860.36	$1,246.84	$2,689.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,222.65 / $3,222.65 / $3,222.65	Professional		$3,222.65	$3,222.65	$3,222.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $953.46 / $1,236.41 / $1,767.10	Professional		$953.46	$1,236.41	$1,767.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,384.00 / $15,471.00	Facility		$3,523.00	$7,384.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $745.20 / $971.26 / $2,429.69	Professional		$745.20	$971.26	$2,429.69