Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.00 / $5,679.00 / $17,902.00	Facility		$1,038.00	$5,679.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $3,782.25 / $8,370.70	Professional		$166.28	$3,782.25	$8,370.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.00 / $4,814.00 / $10,705.00	Facility		$1,759.00	$4,814.00	$10,705.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.92 / $6,169.67 / $12,123.97	Professional		$258.92	$6,169.67	$12,123.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $696.28 / $7,487.07	Professional		$167.70	$696.28	$7,487.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,931.60 / $5,828.27 / $13,730.90	Facility		$4,931.60	$5,828.27	$13,730.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.03 / $2,587.53 / $8,460.94	Professional		$179.03	$2,587.53	$8,460.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $3,480.63 / $5,011.52	Professional		$183.47	$3,480.63	$5,011.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $2,592.03 / $5,255.29	Professional		$165.86	$2,592.03	$5,255.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,121.88 / $1,144.02	Facility		$55.00	$1,121.88	$1,144.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,269.87 / $19,541.36 / $23,097.38	Professional		$10,269.87	$19,541.36	$23,097.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $187.14 / $2,761.41 / $5,179.47	Facility		$187.14	$2,761.41	$5,179.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $2,587.53 / $7,985.87	Professional		$183.11	$2,587.53	$7,985.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $543.22 / $543.22 / $10,439.34	Professional		$543.22	$543.22	$10,439.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $3,480.63 / $5,220.95	Professional		$166.71	$3,480.63	$5,220.95
United Facility/Professional Facility Modifier Low / Median / High Price $6,366.00 / $13,651.00 / $29,571.00	Facility		$6,366.00	$13,651.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,525.62 / $3,928.80 / $10,636.68	Professional		$2,525.62	$3,928.80	$10,636.68