Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,008.00 / $19,860.00	Facility		$2,616.00	$9,008.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,173.57 / $1,265.32 / $6,677.08	Professional		$1,173.57	$1,265.32	$6,677.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $8,971.00 / $18,030.00	Facility		$3,028.00	$8,971.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,461.43 / $1,915.46 / $3,682.80	Professional		$1,461.43	$1,915.46	$3,682.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,117.03	Facility		$66.00	$100.00	$11,117.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $867.76 / $1,367.24 / $3,315.21	Professional		$867.76	$1,367.24	$3,315.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.28 / $1,626.35 / $4,526.71	Professional		$1,198.28	$1,626.35	$4,526.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,481.33 / $1,955.09	Professional		$674.61	$1,481.33	$1,955.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,654.38 / $2,937.29	Professional		$1,272.59	$1,654.38	$2,937.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,046.92 / $10,282.93 / $26,542.00	Facility		$8,046.92	$10,282.93	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,023.68 / $9,298.40 / $10,512.23	Professional		$9,023.68	$9,298.40	$10,512.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,317.24 / $1,606.50 / $2,222.60	Facility		$1,317.24	$1,606.50	$2,222.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,213.08 / $1,671.69 / $3,563.35	Professional		$1,213.08	$1,671.69	$3,563.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,143.02 / $4,143.02 / $4,143.02	Professional		$4,143.02	$4,143.02	$4,143.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,191.03 / $1,645.22	Professional		$674.61	$1,191.03	$1,645.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.65 / $1,445.20 / $4,169.87	Professional		$1,011.65	$1,445.20	$4,169.87