Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.42 / $8,565.00 / $19,368.00	Facility		$1,813.42	$8,565.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.08 / $1,643.84 / $4,337.00	Professional		$302.08	$1,643.84	$4,337.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $6,048.00 / $13,707.00	Facility		$2,143.00	$6,048.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.82 / $2,448.78 / $5,416.40	Professional		$472.82	$2,448.78	$5,416.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $333.34 / $1,323.42 / $3,209.21	Professional		$333.34	$1,323.42	$3,209.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,441.52 / $4,441.52 / $5,249.07	Facility		$4,441.52	$4,441.52	$5,249.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.44 / $1,426.96 / $3,864.28	Professional		$357.44	$1,426.96	$3,864.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $378.92 / $1,618.76 / $3,037.84	Professional		$378.92	$1,618.76	$3,037.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $1,250.34 / $3,038.53	Professional		$354.10	$1,250.34	$3,038.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,872.49 / $3,172.90	Facility		$55.00	$2,872.49	$3,172.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,442.75 / $12,321.44 / $14,523.30	Professional		$6,442.75	$12,321.44	$14,523.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.51 / $1,700.62 / $2,956.84	Facility		$389.51	$1,700.62	$2,956.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $360.76 / $1,324.49 / $4,015.17	Professional		$360.76	$1,324.49	$4,015.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,197.38 / $1,197.38 / $6,488.05	Professional		$1,197.38	$1,197.38	$6,488.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $343.85 / $1,819.59 / $2,501.94	Professional		$343.85	$1,819.59	$2,501.94
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,722.00 / $32,191.00	Facility		$6,385.00	$13,722.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,580.73 / $2,216.21 / $6,065.51	Professional		$1,580.73	$2,216.21	$6,065.51