Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.83 / $1,441.13 / $6,423.00	Professional		$1,120.83	$1,441.13	$6,423.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.60 / $1,895.57 / $4,045.24	Professional		$1,394.60	$1,895.57	$4,045.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,886.73	Facility		$66.00	$100.00	$11,886.73
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $934.82 / $1,469.01 / $3,536.03	Professional		$934.82	$1,469.01	$3,536.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,170.47 / $1,745.14 / $4,655.87	Professional		$1,170.47	$1,745.14	$4,655.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $737.90 / $1,716.98 / $2,317.92	Professional		$737.90	$1,716.98	$2,317.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,447.68 / $1,886.91 / $3,420.90	Professional		$1,447.68	$1,886.91	$3,420.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,786.32 / $16,547.20 / $26,542.00	Facility		$7,786.32	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,116.40 / $10,448.87 / $11,963.48	Professional		$10,116.40	$10,448.87	$11,963.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,281.19 / $1,783.09 / $2,521.44	Facility		$1,281.19	$1,783.09	$2,521.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,189.86 / $1,831.86 / $3,881.17	Professional		$1,189.86	$1,831.86	$3,881.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,584.89 / $4,584.89 / $4,584.89	Professional		$4,584.89	$4,584.89	$4,584.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $737.90 / $1,302.77 / $1,907.10	Professional		$737.90	$1,302.77	$1,907.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $11,624.00 / $26,109.00	Facility		$2,900.00	$11,624.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.02 / $1,568.40 / $4,802.97	Professional		$1,045.02	$1,568.40	$4,802.97