Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,264.00 / $16,973.00	Facility		$1,919.00	$6,264.00	$16,973.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $864.44 / $1,157.48 / $4,629.47	Professional		$864.44	$1,157.48	$4,629.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,706.00 / $13,707.00	Facility		$2,143.00	$6,706.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.85 / $1,440.85 / $2,910.32	Professional		$1,019.85	$1,440.85	$2,910.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,642.94	Facility		$66.00	$100.00	$12,642.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $689.20 / $999.63 / $2,334.79	Professional		$689.20	$999.63	$2,334.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.74 / $558.13 / $705.31	Facility		$418.74	$558.13	$705.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $962.94 / $1,356.86 / $3,134.43	Professional		$962.94	$1,356.86	$3,134.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.71 / $1,356.16 / $1,830.82	Professional		$1,022.71	$1,356.16	$1,830.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.69 / $1,424.19 / $2,783.81	Professional		$1,071.69	$1,424.19	$2,783.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,307.37 / $9,431.94	Facility		$55.00	$7,307.37	$9,431.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,349.84 / $8,606.32 / $9,431.40	Professional		$8,349.84	$8,606.32	$9,431.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,185.05 / $1,461.17 / $2,100.01	Facility		$1,185.05	$1,461.17	$2,100.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $976.75 / $1,406.71 / $3,181.55	Professional		$976.75	$1,406.71	$3,181.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,811.53 / $3,811.53 / $3,811.53	Professional		$3,811.53	$3,811.53	$3,811.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $2,731.00 / $8,345.00	Facility		$1,371.00	$2,731.00	$8,345.00
United Facility/Professional Professional Modifier Low / Median / High Price $886.39 / $1,151.78 / $2,529.39	Professional		$886.39	$1,151.78	$2,529.39