Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $5,419.90	Facility		$0.02	$0.06	$5,419.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.00 / $7,045.87 / $17,425.00	Professional		$1,355.00	$7,045.87	$17,425.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $876.00 / $13,576.85	Facility		$260.00	$876.00	$13,576.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $2,921.38 / $7,153.53	Professional		$846.27	$2,921.38	$7,153.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,959.29 / $7,642.06	Facility		$92.60	$1,959.29	$7,642.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,233.03 / $1,761.47 / $4,428.16	Professional		$1,233.03	$1,761.47	$4,428.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,842.07 / $4,544.59 / $9,071.57	Facility		$1,842.07	$4,544.59	$9,071.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.97 / $2,330.94 / $5,234.52	Professional		$1,442.97	$2,330.94	$5,234.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,709.95 / $2,980.95 / $3,658.43	Professional		$2,709.95	$2,980.95	$3,658.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,438.96 / $3,116.44 / $5,284.40	Professional		$2,438.96	$3,116.44	$5,284.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,715.31 / $12,872.26 / $12,872.26	Facility		$4,715.31	$12,872.26	$12,872.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,549.75 / $13,549.75 / $20,324.63	Professional		$13,549.75	$13,549.75	$20,324.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,896.96 / $1,896.96 / $1,896.96	Professional		$1,896.96	$1,896.96	$1,896.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,167.96 / $3,387.44 / $7,787.46	Facility		$2,167.96	$3,387.44	$7,787.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,800.66 / $2,980.95 / $5,234.52	Professional		$1,800.66	$2,980.95	$5,234.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,511.92 / $9,511.92 / $9,511.92	Professional		$9,511.92	$9,511.92	$9,511.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.18 / $1,224.10 / $6,972.70	Professional		$1,138.18	$1,224.10	$6,972.70