Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,321.36 / $9,665.00 / $21,960.90	Facility		$2,321.36	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.51 / $2,069.21 / $2,896.90	Professional		$391.51	$2,069.21	$2,896.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $9,260.00 / $18,150.00	Facility		$3,388.00	$9,260.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.94 / $3,134.77 / $6,934.43	Professional		$589.94	$3,134.77	$6,934.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $22,138.02	Facility		$65.80	$100.00	$22,138.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $418.23 / $1,660.44 / $4,107.74	Professional		$418.23	$1,660.44	$4,107.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,200.17 / $8,200.17 / $9,691.11	Facility		$8,200.17	$8,200.17	$9,691.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.54 / $1,789.38 / $4,898.07	Professional		$445.54	$1,789.38	$4,898.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $458.34 / $2,072.21 / $3,814.90	Professional		$458.34	$2,072.21	$3,814.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.65 / $1,568.66 / $3,814.90	Professional		$426.65	$1,568.66	$3,814.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,427.97 / $3,605.25	Facility		$55.00	$3,427.97	$3,605.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,054.86 / $15,435.28 / $18,182.84	Professional		$8,054.86	$15,435.28	$18,182.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $469.32 / $2,176.77 / $3,755.49	Facility		$469.32	$2,176.77	$3,755.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $448.13 / $1,661.63 / $5,048.72	Professional		$448.13	$1,661.63	$5,048.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,439.34 / $1,439.34 / $8,155.76	Professional		$1,439.34	$1,439.34	$8,155.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $415.99 / $2,285.13 / $3,142.05	Professional		$415.99	$2,285.13	$3,142.05
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $46,770.00	Facility		$8,830.00	$18,315.00	$46,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,925.01 / $2,911.71 / $7,395.94	Professional		$1,925.01	$2,911.71	$7,395.94