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 $942.49 / $1,162.11 / $6,194.57	Professional		$942.49	$1,162.11	$6,194.57
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 $1,353.51 / $1,774.02 / $3,410.85	Professional		$1,353.51	$1,774.02	$3,410.85
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 $803.70 / $1,265.52 / $3,071.23	Professional		$803.70	$1,265.52	$3,071.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,671.21 / $5,520.52 / $13,005.87	Facility		$4,671.21	$5,520.52	$13,005.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,088.63 / $1,506.17 / $4,228.24	Professional		$1,088.63	$1,506.17	$4,228.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,435.14 / $1,937.44	Professional		$893.52	$1,435.14	$1,937.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,228.72 / $1,597.34 / $2,839.56	Professional		$1,228.72	$1,597.34	$2,839.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,649.32 / $20,973.00 / $26,542.00	Facility		$6,649.32	$20,973.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,702.64 / $9,013.76 / $10,137.68	Professional		$8,702.64	$9,013.76	$10,137.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,206.33 / $1,548.85 / $2,325.60	Facility		$1,206.33	$1,548.85	$2,325.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.64 / $1,604.66 / $3,477.35	Professional		$1,117.64	$1,604.66	$3,477.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,843.61 / $3,843.61 / $3,843.61	Professional		$3,843.61	$3,843.61	$3,843.61
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 $920.61 / $1,341.19 / $3,868.51	Professional		$920.61	$1,341.19	$3,868.51