Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $8,665.65 / $20,728.64	Facility		$2,843.00	$8,665.65	$20,728.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $488.73 / $5,574.67 / $9,975.68	Professional		$488.73	$5,574.67	$9,975.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $6,040.00 / $14,393.00	Facility		$2,160.00	$6,040.00	$14,393.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.26 / $990.58 / $18,814.72	Professional		$658.26	$990.58	$18,814.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $100.00 / $12,833.44	Facility		$66.09	$100.00	$12,833.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $535.54 / $2,021.43 / $12,823.38	Professional		$535.54	$2,021.43	$12,823.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,894.76 / $6,906.96 / $12,348.83	Facility		$6,894.76	$6,906.96	$12,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.76 / $2,140.69 / $13,689.84	Professional		$561.76	$2,140.69	$13,689.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $466.86 / $669.10 / $8,694.74	Professional		$466.86	$669.10	$8,694.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.78 / $3,980.40 / $10,654.28	Professional		$506.78	$3,980.40	$10,654.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,446.76 / $9,013.67	Facility		$55.00	$3,446.76	$9,013.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,210.07 / $20,838.52 / $52,591.26	Professional		$20,210.07	$20,838.52	$52,591.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.78 / $5,064.43 / $9,708.08	Facility		$587.78	$5,064.43	$9,708.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $576.62 / $1,831.22 / $14,239.03	Professional		$576.62	$1,831.22	$14,239.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,657.19 / $1,657.19 / $22,613.10	Professional		$1,657.19	$1,657.19	$22,613.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $466.86 / $653.61 / $8,058.28	Professional		$466.86	$653.61	$8,058.28
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $12,718.00 / $28,973.00	Facility		$6,366.00	$12,718.00	$28,973.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,123.66 / $7,538.22 / $16,198.69	Professional		$5,123.66	$7,538.22	$16,198.69