Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,626.00 / $17,380.00	Facility		$1,820.00	$6,626.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.91 / $1,091.53 / $5,370.08	Professional		$777.91	$1,091.53	$5,370.08
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 $899.46 / $1,258.18 / $2,531.59	Professional		$899.46	$1,258.18	$2,531.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,190.83	Facility		$66.00	$100.00	$8,190.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $644.67 / $932.94 / $2,169.19	Professional		$644.67	$932.94	$2,169.19
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 $825.86 / $1,170.00 / $2,707.23	Professional		$825.86	$1,170.00	$2,707.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $505.96 / $1,276.23 / $1,722.91	Professional		$505.96	$1,276.23	$1,722.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.36 / $1,327.52 / $2,478.00	Professional		$996.36	$1,327.52	$2,478.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.90 / $11,500.00 / $26,542.00	Facility		$5,754.90	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,653.04 / $7,917.52 / $8,707.87	Professional		$7,653.04	$7,917.52	$8,707.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.03 / $1,288.92 / $1,851.58	Facility		$991.03	$1,288.92	$1,851.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $833.95 / $1,251.19 / $2,811.56	Professional		$833.95	$1,251.19	$2,811.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,332.04 / $3,332.04 / $3,332.04	Professional		$3,332.04	$3,332.04	$3,332.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $638.04 / $910.72 / $1,418.49	Professional		$638.04	$910.72	$1,418.49
United Facility/Professional Facility Modifier Low / Median / High Price $4,806.00 / $9,324.00 / $20,217.00	Facility		$4,806.00	$9,324.00	$20,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $774.36 / $1,003.80 / $2,426.15	Professional		$774.36	$1,003.80	$2,426.15