Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,608.00 / $8,011.00 / $22,788.40	Facility		$2,608.00	$8,011.00	$22,788.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.06 / $1,997.30 / $12,393.79	Professional		$463.06	$1,997.30	$12,393.79
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 $650.35 / $10,900.64 / $22,109.56	Professional		$650.35	$10,900.64	$22,109.56
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 $469.04 / $1,911.46 / $13,430.69	Professional		$469.04	$1,911.46	$13,430.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,983.92 / $14,983.92 / $17,708.27	Facility		$14,983.92	$14,983.92	$17,708.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.46 / $6,333.91 / $15,533.69	Professional		$510.46	$6,333.91	$15,533.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $428.15 / $582.42 / $12,181.89	Professional		$428.15	$582.42	$12,181.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $456.28 / $4,853.00 / $12,181.89	Professional		$456.28	$4,853.00	$12,181.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,085.74 / $12,164.75	Facility		$55.00	$11,085.74	$12,164.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,929.11 / $48,340.49 / $56,486.78	Professional		$24,929.11	$48,340.49	$56,486.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $501.91 / $7,016.86 / $12,527.14	Facility		$501.91	$7,016.86	$12,527.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.55 / $1,957.63 / $16,137.45	Professional		$517.55	$1,957.63	$16,137.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,540.27 / $1,540.27 / $25,935.53	Professional		$1,540.27	$1,540.27	$25,935.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $428.15 / $556.59 / $10,036.20	Professional		$428.15	$556.59	$10,036.20
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 $6,286.65 / $9,297.36 / $23,639.94	Professional		$6,286.65	$9,297.36	$23,639.94