Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,259.63 / $9,674.00 / $21,960.90	Facility		$2,259.63	$9,674.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.29 / $1,692.07 / $8,416.04	Professional		$1,424.29	$1,692.07	$8,416.04
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 $1,587.65 / $2,355.19 / $4,581.85	Professional		$1,587.65	$2,355.19	$4,581.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $20,559.83	Facility		$66.00	$100.00	$20,559.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,198.67 / $1,875.17 / $4,534.04	Professional		$1,198.67	$1,875.17	$4,534.04
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 $1,407.19 / $2,020.79 / $5,492.59	Professional		$1,407.19	$2,020.79	$5,492.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,867.48 / $2,521.10	Professional		$998.51	$1,867.48	$2,521.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.96 / $2,105.94 / $3,776.89	Professional		$1,619.96	$2,105.94	$3,776.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,825.16 / $16,547.20 / $26,542.00	Facility		$8,825.16	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,587.45 / $11,748.16 / $13,514.55	Professional		$11,587.45	$11,748.16	$13,514.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,649.61 / $2,072.53 / $3,069.36	Facility		$1,649.61	$2,072.53	$3,069.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,467.34 / $2,086.40 / $4,423.08	Professional		$1,467.34	$2,086.40	$4,423.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,222.00 / $5,222.00 / $5,222.00	Professional		$5,222.00	$5,222.00	$5,222.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,649.61 / $2,073.21	Professional		$998.51	$1,649.61	$2,073.21
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 $1,275.83 / $1,847.90 / $5,519.34	Professional		$1,275.83	$1,847.90	$5,519.34