Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,451.31 / $7,000.00 / $22,788.00	Facility		$2,451.31	$7,000.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.69 / $4,188.64 / $13,066.00	Professional		$418.69	$4,188.64	$13,066.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,751.00 / $9,830.00 / $19,252.00	Facility		$3,751.00	$9,830.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.63 / $6,438.29 / $13,060.10	Professional		$582.63	$6,438.29	$13,060.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $100.00 / $6,859.59	Facility		$65.90	$100.00	$6,859.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $420.15 / $1,712.50 / $7,954.06	Professional		$420.15	$1,712.50	$7,954.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,153.55 / $8,153.55 / $9,636.01	Facility		$8,153.55	$8,153.55	$9,636.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.32 / $3,932.78 / $10,058.68	Professional		$458.32	$3,932.78	$10,058.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $439.45 / $4,381.60 / $7,861.70	Professional		$439.45	$4,381.60	$7,861.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $410.68 / $3,203.44 / $7,861.70	Professional		$410.68	$3,203.44	$7,861.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,829.54 / $7,911.84	Facility		$55.00	$2,829.54	$7,911.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,274.06 / $31,591.50 / $36,646.28	Professional		$16,274.06	$31,591.50	$36,646.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.75 / $4,437.99 / $7,830.25	Facility		$451.75	$4,437.99	$7,830.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $465.53 / $1,753.57 / $10,402.87	Professional		$465.53	$1,753.57	$10,402.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,408.40 / $1,408.40 / $16,734.63	Professional		$1,408.40	$1,408.40	$16,734.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $398.79 / $4,710.27 / $6,572.40	Professional		$398.79	$4,710.27	$6,572.40
United Facility/Professional Facility Modifier Low / Median / High Price $8,830.00 / $18,191.00 / $46,770.00	Facility		$8,830.00	$18,191.00	$46,770.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,948.36 / $5,691.99 / $15,239.30	Professional		$3,948.36	$5,691.99	$15,239.30