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 $1,036.07 / $1,087.74 / $6,032.27	Professional		$1,036.07	$1,087.74	$6,032.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,291.25 / $1,711.08 / $3,280.34	Professional		$1,291.25	$1,711.08	$3,280.34
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 $775.54 / $1,221.65 / $2,962.96	Professional		$775.54	$1,221.65	$2,962.96
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 $1,059.08 / $1,449.24 / $4,100.45	Professional		$1,059.08	$1,449.24	$4,100.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $806.77 / $1,400.66 / $1,890.89	Professional		$806.77	$1,400.66	$1,890.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.74 / $1,557.06 / $2,769.07	Professional		$1,197.74	$1,557.06	$2,769.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,478.44 / $16,547.20 / $26,542.00	Facility		$6,478.44	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,475.68 / $8,776.24 / $9,881.93	Professional		$8,475.68	$8,776.24	$9,881.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.67 / $1,510.40 / $2,186.46	Facility		$1,167.67	$1,510.40	$2,186.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,086.83 / $1,561.35 / $3,392.29	Professional		$1,086.83	$1,561.35	$3,392.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,742.91 / $3,742.91 / $3,742.91	Professional		$3,742.91	$3,742.91	$3,742.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $806.77 / $1,272.86 / $1,555.73	Professional		$806.77	$1,272.86	$1,555.73
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 $904.68 / $1,322.09 / $3,894.84	Professional		$904.68	$1,322.09	$3,894.84