Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,696.00 / $9,721.00 / $20,509.00	Facility		$3,696.00	$9,721.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.28 / $1,043.92 / $5,109.58	Professional		$954.28	$1,043.92	$5,109.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $9,644.00 / $19,252.00	Facility		$3,275.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,224.45 / $1,604.86 / $3,085.62	Professional		$1,224.45	$1,604.86	$3,085.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $714.75 / $1,099.75 / $2,681.75	Professional		$714.75	$1,099.75	$2,681.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,684.00 / $13,360.00 / $14,932.00	Facility		$11,684.00	$13,360.00	$14,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $950.02 / $1,269.90 / $3,870.82	Professional		$950.02	$1,269.90	$3,870.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $927.92 / $1,285.86	Professional		$613.17	$927.92	$1,285.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.40 / $1,233.71 / $2,193.92	Professional		$964.40	$1,233.71	$2,193.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,160.00 / $13,486.75	Facility		$55.00	$10,160.00	$13,486.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,025.38 / $15,405.68 / $15,405.68	Professional		$8,025.38	$15,405.68	$15,405.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,028.08 / $1,315.34 / $1,885.66	Facility		$1,028.08	$1,315.34	$1,885.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $962.01 / $1,273.73 / $2,749.28	Professional		$962.01	$1,273.73	$2,749.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,170.41 / $3,170.41 / $3,170.41	Professional		$3,170.41	$3,170.41	$3,170.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $613.17 / $975.75 / $1,189.53	Professional		$613.17	$975.75	$1,189.53
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.97 / $1,186.46 / $3,100.82	Professional		$785.97	$1,186.46	$3,100.82