Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,992.62 / $7,018.00 / $17,538.00	Facility		$1,992.62	$7,018.00	$17,538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.14 / $1,816.57 / $4,195.95	Professional		$348.14	$1,816.57	$4,195.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,097.00 / $5,977.00 / $13,012.00	Facility		$2,097.00	$5,977.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $582.51 / $907.11 / $6,566.09	Professional		$582.51	$907.11	$6,566.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $394.36 / $1,612.47 / $3,624.83	Professional		$394.36	$1,612.47	$3,624.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $705.31 / $4,238.30 / $5,777.05	Facility		$705.31	$4,238.30	$5,777.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.07 / $1,968.02 / $4,908.79	Professional		$405.07	$1,968.02	$4,908.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $536.00 / $1,946.38 / $3,670.64	Professional		$536.00	$1,946.38	$3,670.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.17 / $1,916.97 / $4,050.03	Professional		$451.17	$1,916.97	$4,050.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,576.00 / $3,695.33	Facility		$55.00	$1,576.00	$3,695.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,619.24 / $14,563.92 / $17,114.70	Professional		$7,619.24	$14,563.92	$17,114.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.24 / $1,795.07 / $3,691.32	Facility		$487.24	$1,795.07	$3,691.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $429.20 / $2,066.64 / $5,457.30	Professional		$429.20	$2,066.64	$5,457.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,454.07 / $1,454.07 / $8,058.69	Professional		$1,454.07	$1,454.07	$8,058.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.47 / $2,259.71 / $3,308.85	Professional		$467.47	$2,259.71	$3,308.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,307.00 / $12,313.00 / $26,451.00	Facility		$5,307.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,821.15 / $2,345.78 / $5,624.43	Professional		$1,821.15	$2,345.78	$5,624.43