Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,802.46 / $10,070.00 / $21,960.90	Facility		$2,802.46	$10,070.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.66 / $1,527.13 / $7,218.92	Professional		$1,418.66	$1,527.13	$7,218.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,557.00 / $19,252.00	Facility		$3,403.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,789.33 / $2,398.23 / $5,013.70	Professional		$1,789.33	$2,398.23	$5,013.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,207.22 / $1,897.06 / $4,566.39	Professional		$1,207.22	$1,897.06	$4,566.39
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 $1,498.59 / $2,162.96 / $5,882.41	Professional		$1,498.59	$2,162.96	$5,882.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,030.15 / $2,088.12 / $2,818.96	Professional		$1,030.15	$2,088.12	$2,818.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,784.25 / $2,319.53 / $4,189.59	Professional		$1,784.25	$2,319.53	$4,189.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,654.95 / $16,547.20 / $26,542.00	Facility		$9,654.95	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,000.00 / $13,000.00 / $14,811.08	Professional		$13,000.00	$13,000.00	$14,811.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,669.20 / $2,141.10 / $3,118.21	Facility		$1,669.20	$2,141.10	$3,118.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,538.26 / $2,246.63 / $4,850.00	Professional		$1,538.26	$2,246.63	$4,850.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,697.66 / $5,697.66 / $5,697.66	Professional		$5,697.66	$5,697.66	$5,697.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,030.15 / $1,751.26 / $2,318.79	Professional		$1,030.15	$1,751.26	$2,318.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,667.00 / $11,671.00 / $25,650.00	Facility		$6,667.00	$11,671.00	$25,650.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.06 / $1,942.58 / $5,469.77	Professional		$1,295.06	$1,942.58	$5,469.77