Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,283.61 / $6,588.00 / $17,538.00	Facility		$1,283.61	$6,588.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.16 / $1,164.82 / $4,593.31	Professional		$293.16	$1,164.82	$4,593.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,787.00 / $4,814.00 / $11,456.00	Facility		$1,787.00	$4,814.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.25 / $1,482.28 / $2,760.19	Professional		$436.25	$1,482.28	$2,760.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,616.47	Facility		$66.00	$100.00	$11,616.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.16 / $931.81 / $2,130.65	Professional		$338.16	$931.81	$2,130.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,673.52 / $6,673.52 / $7,886.89	Facility		$6,673.52	$6,673.52	$7,886.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.00 / $1,049.90 / $2,505.23	Professional		$333.00	$1,049.90	$2,505.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $204.77 / $396.79 / $1,907.82	Professional		$204.77	$396.79	$1,907.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.45 / $901.02 / $1,871.05	Professional		$329.45	$901.02	$1,871.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.07 / $11,500.00 / $26,542.00	Facility		$2,057.07	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,036.00 / $7,793.44 / $9,322.12	Professional		$5,036.00	$7,793.44	$9,322.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $337.32 / $864.27 / $1,953.24	Facility		$337.32	$864.27	$1,953.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.45 / $1,017.76 / $2,712.37	Professional		$329.45	$1,017.76	$2,712.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,049.08 / $1,049.08 / $4,240.80	Professional		$1,049.08	$1,049.08	$4,240.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $204.77 / $348.10 / $1,570.62	Professional		$204.77	$348.10	$1,570.62
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $32,191.00	Facility		$7,696.00	$13,784.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.74 / $1,413.20 / $3,564.63	Professional		$1,045.74	$1,413.20	$3,564.63