Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.44 / $961.76 / $5,233.38	Professional		$873.44	$961.76	$5,233.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.39 / $1,466.97 / $2,836.90	Professional		$1,017.39	$1,466.97	$2,836.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $756.84 / $1,186.44 / $2,862.80	Professional		$756.84	$1,186.44	$2,862.80
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 $968.14 / $1,303.38 / $3,701.41	Professional		$968.14	$1,303.38	$3,701.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $778.48 / $1,151.28 / $1,554.23	Professional		$778.48	$1,151.28	$1,554.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,001.49 / $1,301.94 / $2,301.35	Professional		$1,001.49	$1,301.94	$2,301.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,457.42 / $16,547.20 / $26,542.00	Facility		$5,457.42	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,240.67 / $8,240.67 / $8,298.15	Professional		$8,240.67	$8,240.67	$8,298.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,030.80 / $1,359.89 / $2,262.37	Facility		$1,030.80	$1,359.89	$2,262.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $959.40 / $1,317.48 / $2,898.56	Professional		$959.40	$1,317.48	$2,898.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,247.20 / $3,247.20 / $3,247.20	Professional		$3,247.20	$3,247.20	$3,247.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $778.48 / $1,167.72 / $1,472.59	Professional		$778.48	$1,167.72	$1,472.59
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.14 / $1,195.74 / $3,786.07	Professional		$805.14	$1,195.74	$3,786.07