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 $1,131.43 / $1,233.94 / $7,345.83	Professional		$1,131.43	$1,233.94	$7,345.83
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 $1,363.69 / $1,977.73 / $4,385.85	Professional		$1,363.69	$1,977.73	$4,385.85
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 $923.07 / $1,455.02 / $3,491.57	Professional		$923.07	$1,455.02	$3,491.57
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 $1,187.20 / $1,678.02 / $4,709.13	Professional		$1,187.20	$1,678.02	$4,709.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $739.39 / $1,633.63 / $2,205.40	Professional		$739.39	$1,633.63	$2,205.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,372.17 / $1,791.73 / $3,191.03	Professional		$1,372.17	$1,791.73	$3,191.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,367.28 / $16,547.20 / $26,542.00	Facility		$7,367.28	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,575.12 / $9,896.71 / $11,325.15	Professional		$9,575.12	$9,896.71	$11,325.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.43 / $1,649.67 / $2,393.28	Facility		$1,131.43	$1,649.67	$2,393.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,188.94 / $1,756.23 / $3,817.34	Professional		$1,188.94	$1,756.23	$3,817.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,335.97 / $4,335.97 / $4,335.97	Professional		$4,335.97	$4,335.97	$4,335.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $739.39 / $1,305.40 / $1,814.64	Professional		$739.39	$1,305.40	$1,814.64
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,010.15 / $1,541.30 / $4,501.47	Professional		$1,010.15	$1,541.30	$4,501.47