Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,894.23 / $9,674.00 / $23,814.00	Facility		$2,894.23	$9,674.00	$23,814.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.76 / $2,673.21 / $9,341.40	Professional		$456.76	$2,673.21	$9,341.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,362.00 / $17,692.00	Facility		$2,675.00	$7,362.00	$17,692.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.22 / $9,476.06 / $20,660.82	Professional		$688.22	$9,476.06	$20,660.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $24,031.20	Facility		$66.00	$100.00	$24,031.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $487.94 / $1,989.66 / $12,325.91	Professional		$487.94	$1,989.66	$12,325.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,885.67 / $14,885.67 / $17,592.16	Facility		$14,885.67	$14,885.67	$17,592.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.00 / $4,246.68 / $13,335.41	Professional		$515.00	$4,246.68	$13,335.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $525.54 / $6,259.85 / $9,389.78	Professional		$525.54	$6,259.85	$9,389.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.76 / $3,741.74 / $9,075.43	Professional		$490.76	$3,741.74	$9,075.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,944.08 / $9,245.33	Facility		$55.00	$3,944.08	$9,245.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,008.32 / $36,843.33 / $42,814.58	Professional		$19,008.32	$36,843.33	$42,814.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $539.84 / $5,308.35 / $9,861.37	Facility		$539.84	$5,308.35	$9,861.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $519.84 / $3,827.71 / $14,425.17	Professional		$519.84	$3,827.71	$14,425.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,658.67 / $1,658.67 / $21,709.36	Professional		$1,658.67	$1,658.67	$21,709.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $476.93 / $6,259.85 / $9,389.78	Professional		$476.93	$6,259.85	$9,389.78
United Facility/Professional Facility Modifier Low / Median / High Price $11,918.00 / $23,169.00 / $54,637.00	Facility		$11,918.00	$23,169.00	$54,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,268.17 / $7,902.31 / $18,899.77	Professional		$5,268.17	$7,902.31	$18,899.77