Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $10,062.40	Facility		$0.02	$0.06	$10,062.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $18,695.90 / $32,350.60	Professional		$2,000.00	$18,695.90	$32,350.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $876.00 / $25,206.31	Facility		$260.00	$876.00	$25,206.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $3,086.74 / $8,520.40	Professional		$846.27	$3,086.74	$8,520.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $3,637.56 / $14,187.98	Facility		$92.60	$3,637.56	$14,187.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,289.19 / $3,270.28 / $8,221.16	Professional		$2,289.19	$3,270.28	$8,221.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,419.91 / $8,437.32 / $16,841.93	Facility		$3,419.91	$8,437.32	$16,841.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.13 / $4,327.72 / $9,718.84	Professional		$2,679.13	$4,327.72	$9,718.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,031.20 / $5,534.32 / $6,792.12	Professional		$5,031.20	$5,534.32	$6,792.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,528.08 / $5,785.88 / $9,810.84	Professional		$4,528.08	$5,785.88	$9,810.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,754.29 / $23,898.20 / $23,898.20	Facility		$8,754.29	$23,898.20	$23,898.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,156.00 / $25,156.00 / $37,734.00	Professional		$25,156.00	$25,156.00	$37,734.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,521.84 / $3,521.84 / $3,521.84	Professional		$3,521.84	$3,521.84	$3,521.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,024.96 / $6,289.00 / $14,457.91	Facility		$4,024.96	$6,289.00	$14,457.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,343.26 / $5,534.32 / $9,718.84	Professional		$3,343.26	$5,534.32	$9,718.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17,659.50 / $17,659.50 / $17,659.50	Professional		$17,659.50	$17,659.50	$17,659.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.10 / $2,272.64 / $13,788.00	Professional		$2,113.10	$2,272.64	$13,788.00