Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.95 / $5,710.00 / $17,770.00	Facility		$1,243.95	$5,710.00	$17,770.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.61 / $2,373.01 / $5,546.30	Professional		$206.61	$2,373.01	$5,546.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $4,576.00 / $11,400.00	Facility		$1,882.00	$4,576.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $411.01 / $11,385.17	Professional		$273.13	$411.01	$11,385.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $15,457.42	Facility		$64.40	$100.00	$15,457.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $220.94 / $854.70 / $7,771.75	Professional		$220.94	$854.70	$7,771.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,500.00 / $8,500.00 / $8,500.00	Facility		$8,500.00	$8,500.00	$8,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.40 / $891.61 / $7,863.21	Professional		$238.40	$891.61	$7,863.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $252.34 / $4,442.05	Professional		$195.09	$252.34	$4,442.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $2,040.54 / $5,440.23	Professional		$213.68	$2,040.54	$5,440.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,615.14 / $4,615.14	Facility		$55.00	$4,615.14	$4,615.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,357.03 / $10,669.73 / $31,785.96	Professional		$10,357.03	$10,669.73	$31,785.96
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 $246.10 / $2,460.79 / $5,046.03	Facility		$246.10	$2,460.79	$5,046.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.05 / $783.24 / $7,863.21	Professional		$246.05	$783.24	$7,863.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $707.56 / $707.56 / $12,630.50	Professional		$707.56	$707.56	$12,630.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $195.09 / $273.12 / $4,116.89	Professional		$195.09	$273.12	$4,116.89
United Facility/Professional Facility Modifier Low / Median / High Price $587.00 / $1,814.00 / $10,819.00	Facility		$587.00	$1,814.00	$10,819.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,850.40 / $4,446.78 / $9,259.56	Professional		$2,850.40	$4,446.78	$9,259.56