Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,401.46 / $10,615.43 / $23,377.00	Facility		$2,401.46	$10,615.43	$23,377.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.12 / $2,033.63 / $3,641.68	Professional		$418.12	$2,033.63	$3,641.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,675.00 / $7,362.00 / $15,328.00	Facility		$2,675.00	$7,362.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.79 / $3,482.67 / $6,598.15	Professional		$711.79	$3,482.67	$6,598.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,739.33	Facility		$66.00	$100.00	$8,739.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $477.69 / $1,866.93 / $4,731.66	Professional		$477.69	$1,866.93	$4,731.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,087.51 / $15,087.51 / $17,830.68	Facility		$15,087.51	$15,087.51	$17,830.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.73 / $1,551.09 / $4,725.02	Professional		$458.73	$1,551.09	$4,725.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $441.32 / $2,026.80 / $3,833.94	Professional		$441.32	$2,026.80	$3,833.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.80 / $1,261.26 / $2,836.23	Professional		$414.80	$1,261.26	$2,836.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,320.66 / $3,394.86	Facility		$55.00	$3,320.66	$3,394.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,149.90 / $14,461.34 / $16,544.48	Professional		$6,149.90	$14,461.34	$16,544.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.18 / $1,771.97 / $3,746.42	Facility		$478.18	$1,771.97	$3,746.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.06 / $1,391.83 / $4,789.00	Professional		$461.06	$1,391.83	$4,789.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,386.23 / $1,386.23 / $6,599.97	Professional		$1,386.23	$1,386.23	$6,599.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $410.46 / $2,333.98 / $3,833.94	Professional		$410.46	$2,333.98	$3,833.94
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,205.00 / $30,330.00	Facility		$7,696.00	$13,205.00	$30,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,680.29 / $2,551.46 / $5,971.55	Professional		$1,680.29	$2,551.46	$5,971.55