Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,000.00 / $17,902.00	Facility		$2,197.85	$7,000.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,006.18 / $1,209.96 / $6,400.94	Professional		$1,006.18	$1,209.96	$6,400.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,030.00 / $17,774.00	Facility		$3,204.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,333.38 / $1,952.34 / $3,699.22	Professional		$1,333.38	$1,952.34	$3,699.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,374.24	Facility		$66.00	$100.00	$7,374.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $905.88 / $1,375.55 / $3,396.91	Professional		$905.88	$1,375.55	$3,396.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.27 / $1,573.74 / $4,516.08	Professional		$1,203.27	$1,573.74	$4,516.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $697.32 / $1,055.24 / $1,653.56	Professional		$697.32	$1,055.24	$1,653.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.04 / $1,584.67 / $2,799.50	Professional		$1,229.04	$1,584.67	$2,799.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $11,644.00	Facility		$5,897.00	$5,897.00	$11,644.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,851.44 / $9,109.12 / $10,251.83	Professional		$8,851.44	$9,109.12	$10,251.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,209.96 / $1,586.12 / $2,204.75	Facility		$1,209.96	$1,586.12	$2,204.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,209.76 / $1,602.15 / $3,486.03	Professional		$1,209.76	$1,602.15	$3,486.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,971.65 / $3,971.65 / $3,971.65	Professional		$3,971.65	$3,971.65	$3,971.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $697.32 / $1,185.44 / $1,529.53	Professional		$697.32	$1,185.44	$1,529.53
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.76 / $1,413.70 / $4,688.76	Professional		$984.76	$1,413.70	$4,688.76