Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,626.00 / $18,681.00	Facility		$2,197.85	$6,626.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.37 / $1,876.88 / $4,790.14	Professional		$434.37	$1,876.88	$4,790.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,445.00 / $9,311.00 / $20,554.00	Facility		$3,445.00	$9,311.00	$20,554.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.27 / $4,997.89 / $10,424.70	Professional		$744.27	$4,997.89	$10,424.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,497.80	Facility		$66.00	$100.00	$12,497.80
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $429.54 / $1,706.64 / $4,875.39	Professional		$429.54	$1,706.64	$4,875.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,873.98 / $8,873.98 / $10,487.43	Facility		$8,873.98	$8,873.98	$10,487.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.33 / $2,839.90 / $6,738.73	Professional		$465.33	$2,839.90	$6,738.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $524.41 / $4,591.64	Professional		$392.40	$524.41	$4,591.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.53 / $1,884.70 / $4,593.74	Professional		$420.53	$1,884.70	$4,593.74
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,367.00 / $4,368.42	Facility		$55.00	$3,367.00	$4,368.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,721.42 / $18,488.33 / $21,924.98	Professional		$9,721.42	$18,488.33	$21,924.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.58 / $2,683.12 / $4,748.97	Facility		$462.58	$2,683.12	$4,748.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $476.06 / $1,802.59 / $7,710.93	Professional		$476.06	$1,802.59	$7,710.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,410.50 / $1,410.50 / $11,382.35	Professional		$1,410.50	$1,410.50	$11,382.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $392.40 / $510.13 / $3,781.39	Professional		$392.40	$510.13	$3,781.39
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,315.00 / $45,545.00	Facility		$8,830.00	$18,315.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,684.65 / $3,805.95 / $10,681.81	Professional		$2,684.65	$3,805.95	$10,681.81