Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,140.54 / $38,293.00 / $76,588.00	Facility		$1,140.54	$38,293.00	$76,588.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,317.60 / $5,986.31	Professional		$1,058.71	$1,317.60	$5,986.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,643.00 / $36,414.00	Facility		$4,204.00	$14,643.00	$36,414.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,423.49 / $1,917.78 / $3,982.26	Professional		$1,423.49	$1,917.78	$3,982.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $3,751.83	Facility		$58.70	$100.00	$3,751.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $600.00 / $1,588.68	Professional		$420.00	$600.00	$1,588.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25,540.00 / $40,368.00 / $53,438.00	Facility		$25,540.00	$40,368.00	$53,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.28 / $1,654.69 / $4,470.35	Professional		$833.28	$1,654.69	$4,470.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $531.27 / $1,478.42 / $1,774.10	Professional		$531.27	$1,478.42	$1,774.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,335.66 / $1,706.96 / $3,136.90	Professional		$1,335.66	$1,706.96	$3,136.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,523.52 / $12,762.56	Facility		$55.00	$10,523.52	$12,762.56
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $271.66 / $640.19 / $667.98	Facility	AS	$271.66	$640.19	$667.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,636.95 / $9,811.12 / $12,420.08	Professional		$9,636.95	$9,811.12	$12,420.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,265.64 / $1,687.52 / $2,595.31	Facility		$1,265.64	$1,687.52	$2,595.31
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $448.19 / $448.19 / $448.19	Facility	AS	$448.19	$448.19	$448.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $820.99 / $1,700.17 / $3,687.44	Professional		$820.99	$1,700.17	$3,687.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,290.09 / $4,290.09 / $4,290.09	Professional		$4,290.09	$4,290.09	$4,290.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $531.27 / $956.29 / $1,635.92	Professional		$531.27	$956.29	$1,635.92
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,722.00 / $29,571.00	Facility		$6,385.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $962.37 / $1,512.40 / $4,483.67	Professional		$962.37	$1,512.40	$4,483.67