Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,530.35 / $10,399.00 / $22,788.00	Facility		$3,530.35	$10,399.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.01 / $705.36 / $3,256.00	Professional		$622.01	$705.36	$3,256.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,598.00 / $10,450.00 / $20,634.00	Facility		$3,598.00	$10,450.00	$20,634.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.44 / $1,283.41 / $2,354.85	Professional		$912.44	$1,283.41	$2,354.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $22,834.39 / $42,328.59	Facility		$95.50	$22,834.39	$42,328.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $455.29 / $679.85 / $1,522.71	Professional		$455.29	$679.85	$1,522.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.66 / $822.64 / $2,139.85	Professional		$668.66	$822.64	$2,139.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $565.27 / $668.60 / $847.91	Professional		$565.27	$668.60	$847.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.74 / $761.77 / $1,429.13	Professional		$601.74	$761.77	$1,429.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,590.87 / $7,954.87 / $8,165.96	Facility		$6,590.87	$7,954.87	$8,165.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,016.73 / $4,016.73 / $5,507.55	Professional		$4,016.73	$4,016.73	$5,507.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.54 / $895.17 / $18,892.00	Facility		$641.54	$895.17	$18,892.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $671.70 / $822.64 / $1,952.18	Professional		$671.70	$822.64	$1,952.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,103.34 / $2,103.34 / $2,103.34	Professional		$2,103.34	$2,103.34	$2,103.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $565.27 / $734.85 / $960.95	Professional		$565.27	$734.85	$960.95
United Facility/Professional Facility Modifier Low / Median / High Price $9,883.00 / $20,877.00 / $50,904.00	Facility		$9,883.00	$20,877.00	$50,904.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.16 / $791.06 / $1,767.02	Professional		$545.16	$791.06	$1,767.02