Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.67 / $8,689.00 / $19,368.00	Facility		$2,023.67	$8,689.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $1,843.65 / $8,285.62	Professional		$314.58	$1,843.65	$8,285.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,260.00 / $17,774.00	Facility		$3,204.00	$9,260.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.07 / $1,791.94 / $5,358.33	Professional		$446.07	$1,791.94	$5,358.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $324.02 / $1,301.98 / $3,495.85	Professional		$324.02	$1,301.98	$3,495.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,643.10 / $1,941.85 / $4,574.83	Facility		$1,643.10	$1,941.85	$4,574.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.37 / $2,010.53 / $5,192.67	Professional		$362.37	$2,010.53	$5,192.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $382.82 / $2,086.62 / $2,712.61	Professional		$382.82	$2,086.62	$2,712.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.36 / $1,344.68 / $3,047.95	Professional		$350.36	$1,344.68	$3,047.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,697.74 / $2,940.01	Facility		$55.00	$2,697.74	$2,940.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,468.12 / $13,460.18 / $14,668.07	Professional		$6,468.12	$13,460.18	$14,668.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.64 / $1,829.00 / $3,338.59	Facility		$406.64	$1,829.00	$3,338.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $2,053.69 / $4,938.81	Professional		$363.92	$2,053.69	$4,938.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,143.94 / $1,143.94 / $6,167.74	Professional		$1,143.94	$1,143.94	$6,167.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $424.64 / $2,319.96 / $3,362.22	Professional		$424.64	$2,319.96	$3,362.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $28,228.00	Facility		$5,799.00	$12,377.00	$28,228.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,502.48 / $2,169.80 / $6,355.87	Professional		$1,502.48	$2,169.80	$6,355.87