Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.20 / $5,856.00 / $17,030.00	Facility		$1,307.20	$5,856.00	$17,030.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.45 / $1,413.40 / $6,749.34	Professional		$225.45	$1,413.40	$6,749.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.00 / $7,028.00 / $13,707.00	Facility		$3,222.00	$7,028.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $1,702.40 / $4,304.66	Professional		$263.50	$1,702.40	$4,304.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $1,935.02	Facility		$66.00	$100.00	$1,935.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.46 / $949.14 / $3,188.42	Professional		$251.46	$949.14	$3,188.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.60 / $1,433.09 / $3,376.23	Facility		$1,212.60	$1,433.09	$3,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.06 / $1,630.85 / $5,232.29	Professional		$246.06	$1,630.85	$5,232.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $291.51 / $3,365.68	Professional		$194.34	$291.51	$3,365.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.72 / $2,146.42 / $4,331.17	Professional		$226.72	$2,146.42	$4,331.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,105.04 / $3,788.21	Facility		$55.00	$1,105.04	$3,788.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,518.90 / $16,230.88 / $19,177.50	Professional		$8,518.90	$16,230.88	$19,177.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $258.58 / $1,280.59 / $3,825.14	Facility		$258.58	$1,280.59	$3,825.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.82 / $1,676.25 / $5,637.88	Professional		$250.82	$1,676.25	$5,637.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $729.91 / $729.91 / $7,139.79	Professional		$729.91	$729.91	$7,139.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $278.76 / $3,403.06	Professional		$194.34	$278.76	$3,403.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,213.00 / $9,131.00	Facility		$2,150.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,595.91 / $2,253.78 / $6,617.68	Professional		$1,595.91	$2,253.78	$6,617.68