Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $6,695.00 / $17,380.00	Facility		$1,820.00	$6,695.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.30 / $1,257.47 / $6,237.65	Professional		$900.30	$1,257.47	$6,237.65
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 $1,013.86 / $1,432.98 / $2,878.72	Professional		$1,013.86	$1,432.98	$2,878.72
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 $766.93 / $1,111.17 / $2,557.04	Professional		$766.93	$1,111.17	$2,557.04
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 $966.13 / $1,336.56 / $3,142.76	Professional		$966.13	$1,336.56	$3,142.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $829.86 / $1,461.02 / $1,972.38	Professional		$829.86	$1,461.02	$1,972.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,143.09 / $1,522.29 / $2,858.00	Professional		$1,143.09	$1,522.29	$2,858.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,615.12 / $11,500.00 / $26,542.00	Facility		$6,615.12	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,803.44 / $9,126.08 / $9,999.00	Professional		$8,803.44	$9,126.08	$9,999.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.49 / $1,478.92 / $2,187.46	Facility		$1,202.49	$1,478.92	$2,187.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $973.15 / $1,456.92 / $3,221.12	Professional		$973.15	$1,456.92	$3,221.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,870.34 / $3,870.34 / $3,870.34	Professional		$3,870.34	$3,870.34	$3,870.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,046.52 / $1,328.60 / $1,779.08	Professional		$1,046.52	$1,328.60	$1,779.08
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,707.00 / $20,988.00	Facility		$4,331.00	$9,707.00	$20,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $878.16 / $1,155.66 / $2,635.39	Professional		$878.16	$1,155.66	$2,635.39