Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,090.24 / $16,973.00	Facility		$1,919.00	$6,090.24	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.49 / $1,003.07 / $5,229.64	Professional		$748.49	$1,003.07	$5,229.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,441.00 / $16,676.00	Facility		$2,275.00	$8,441.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.82 / $1,225.57 / $2,465.96	Professional		$884.82	$1,225.57	$2,465.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,854.54	Facility		$66.00	$100.00	$6,854.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $633.97 / $916.40 / $2,106.79	Professional		$633.97	$916.40	$2,106.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.60 / $1,726.46 / $2,353.27	Facility		$499.60	$1,726.46	$2,353.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.80 / $1,155.34 / $2,664.54	Professional		$830.80	$1,155.34	$2,664.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,177.97 / $1,590.26	Professional		$505.96	$1,177.97	$1,590.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $922.52 / $1,228.31 / $2,313.96	Professional		$922.52	$1,228.31	$2,313.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,344.68 / $6,919.08 / $16,394.00	Facility		$5,344.68	$6,919.08	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,111.92 / $7,347.12 / $8,077.20	Professional		$7,111.92	$7,347.12	$8,077.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,015.00 / $1,249.13 / $1,798.45	Facility		$1,015.00	$1,249.13	$1,798.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $830.80 / $1,244.22 / $2,716.05	Professional		$830.80	$1,244.22	$2,716.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,244.89 / $3,244.89 / $3,244.89	Professional		$3,244.89	$3,244.89	$3,244.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $910.72 / $1,309.23	Professional		$638.04	$910.72	$1,309.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,359.00 / $15,471.00	Facility		$3,523.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.11 / $977.55 / $2,203.96	Professional		$754.11	$977.55	$2,203.96