Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $10,070.00 / $20,495.00	Facility		$3,400.00	$10,070.00	$20,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.86 / $1,101.79 / $4,197.00	Professional		$759.86	$1,101.79	$4,197.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.72 / $1,209.92 / $2,538.98	Professional		$870.72	$1,209.92	$2,538.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $11,847.40	Facility		$66.70	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $623.90 / $984.99 / $2,385.23	Professional		$623.90	$984.99	$2,385.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.80 / $1,148.45 / $3,191.76	Professional		$848.80	$1,148.45	$3,191.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,067.93 / $1,549.35	Professional		$819.06	$1,067.93	$1,549.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.90 / $1,178.89 / $2,133.00	Professional		$905.90	$1,178.89	$2,133.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,882.43 / $16,547.20 / $26,542.00	Facility		$4,882.43	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,712.32 / $7,712.32 / $7,712.32	Professional		$7,712.32	$7,712.32	$7,712.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $905.25 / $1,156.27 / $1,941.73	Facility		$905.25	$1,156.27	$1,941.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $848.80 / $1,191.48 / $2,583.57	Professional		$848.80	$1,191.48	$2,583.57
Sutter Health Plus Facility/Professional Facility Modifier Low / Median / High Price $8,130.00 / $8,130.00 / $8,130.00	Facility		$8,130.00	$8,130.00	$8,130.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,889.68 / $2,889.68 / $2,889.68	Professional		$2,889.68	$2,889.68	$2,889.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $819.06 / $1,186.31 / $1,549.35	Professional		$819.06	$1,186.31	$1,549.35
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.40 / $1,050.25 / $2,814.13	Professional		$712.40	$1,050.25	$2,814.13