Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,631.00 / $17,393.00	Facility		$1,820.00	$6,631.00	$17,393.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.34 / $1,009.27 / $5,054.00	Professional		$725.34	$1,009.27	$5,054.00
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 $848.42 / $1,175.15 / $2,364.51	Professional		$848.42	$1,175.15	$2,364.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,833.76	Facility		$66.00	$100.00	$7,833.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $622.78 / $901.87 / $2,074.94	Professional		$622.78	$901.87	$2,074.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.29 / $1,458.73 / $1,988.34	Facility		$571.29	$1,458.73	$1,988.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.18 / $1,110.35 / $2,546.96	Professional		$793.18	$1,110.35	$2,546.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $615.04 / $1,174.74 / $1,527.16	Professional		$615.04	$1,174.74	$1,527.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.07 / $1,223.97 / $2,305.40	Professional		$919.07	$1,223.97	$2,305.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,318.40 / $6,907.44 / $26,542.00	Facility		$5,318.40	$6,907.44	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,077.68 / $7,332.80 / $8,039.18	Professional		$7,077.68	$7,332.80	$8,039.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $999.08 / $1,244.71 / $1,872.00	Facility		$999.08	$1,244.71	$1,872.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.18 / $1,191.65 / $2,606.08	Professional		$793.18	$1,191.65	$2,606.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,135.90 / $3,135.90 / $3,135.90	Professional		$3,135.90	$3,135.90	$3,135.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $775.61 / $1,045.57 / $1,318.54	Professional		$775.61	$1,045.57	$1,318.54
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 $729.27 / $945.35 / $2,135.79	Professional		$729.27	$945.35	$2,135.79