Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,242.58 / $1,330.70 / $6,912.89	Professional		$1,242.58	$1,330.70	$6,912.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.77 / $1,855.81 / $3,734.08	Professional		$1,481.77	$1,855.81	$3,734.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $821.37 / $1,294.72 / $3,133.60	Professional		$821.37	$1,294.72	$3,133.60
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 $1,131.30 / $1,725.52 / $4,614.27	Professional		$1,131.30	$1,725.52	$4,614.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,390.58 / $1,877.28	Professional		$893.52	$1,390.58	$1,877.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,188.47 / $1,545.01 / $2,748.20	Professional		$1,188.47	$1,545.01	$2,748.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,426.66 / $16,547.20 / $26,542.00	Facility		$6,426.66	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,408.79 / $8,708.71 / $9,803.33	Professional		$8,408.79	$8,708.71	$9,803.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,188.30 / $1,516.26 / $2,227.58	Facility		$1,188.30	$1,516.26	$2,227.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,131.30 / $1,741.34 / $3,888.38	Professional		$1,131.30	$1,741.34	$3,888.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,712.41 / $3,712.41 / $3,712.41	Professional		$3,712.41	$3,712.41	$3,712.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,340.28 / $1,690.20	Professional		$893.52	$1,340.28	$1,690.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.73 / $1,396.46 / $3,863.54	Professional		$938.73	$1,396.46	$3,863.54