Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,196.40 / $9,674.00 / $21,861.00	Facility		$2,196.40	$9,674.00	$21,861.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $1,801.17 / $3,069.81	Professional		$324.36	$1,801.17	$3,069.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,030.00 / $17,774.00	Facility		$3,294.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.95 / $3,235.80 / $6,853.04	Professional		$512.95	$3,235.80	$6,853.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $7,323.06	Facility		$65.80	$100.00	$7,323.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.69 / $1,375.62 / $3,871.61	Professional		$346.69	$1,375.62	$3,871.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,323.43 / $5,109.52 / $6,395.00	Facility		$4,323.43	$5,109.52	$6,395.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.36 / $1,416.18 / $4,195.47	Professional		$364.36	$1,416.18	$4,195.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $351.01 / $1,960.53 / $3,016.28	Professional		$351.01	$1,960.53	$3,016.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.02 / $1,241.42 / $3,017.74	Professional		$334.02	$1,241.42	$3,017.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,677.99 / $2,741.27	Facility		$55.00	$2,677.99	$2,741.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,435.55 / $12,243.62 / $14,479.20	Professional		$6,435.55	$12,243.62	$14,479.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $367.42 / $1,770.23 / $3,239.71	Facility		$367.42	$1,770.23	$3,239.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $364.51 / $1,364.52 / $4,439.72	Professional		$364.51	$1,364.52	$4,439.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,117.58 / $1,117.58 / $6,915.56	Professional		$1,117.58	$1,117.58	$6,915.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $318.25 / $1,960.53 / $2,940.80	Professional		$318.25	$1,960.53	$2,940.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,651.00 / $29,571.00	Facility		$6,385.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,692.16 / $2,538.56 / $5,467.74	Professional		$1,692.16	$2,538.56	$5,467.74