Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,196.11 / $1,432.87 / $7,729.66	Professional		$1,196.11	$1,432.87	$7,729.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,449.66 / $3,068.01 / $5,731.72	Professional		$2,449.66	$3,068.01	$5,731.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,793.11	Facility		$66.00	$100.00	$11,793.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,055.80 / $1,615.62 / $3,973.20	Professional		$1,055.80	$1,615.62	$3,973.20
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 $1,441.27 / $1,911.61 / $5,707.81	Professional		$1,441.27	$1,911.61	$5,707.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.77 / $1,749.21 / $2,361.42	Professional		$1,255.77	$1,749.21	$2,361.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,516.79 / $1,971.83 / $3,489.33	Professional		$1,516.79	$1,971.83	$3,489.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $16,547.20	Facility		$2,000.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,797.68 / $11,082.32 / $12,560.10	Professional		$10,797.68	$11,082.32	$12,560.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,485.86 / $1,903.99 / $2,798.74	Facility		$1,485.86	$1,903.99	$2,798.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,477.35 / $1,957.61 / $4,282.92	Professional		$1,477.35	$1,957.61	$4,282.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,796.10 / $4,796.10 / $4,796.10	Professional		$4,796.10	$4,796.10	$4,796.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.77 / $1,758.08 / $2,134.81	Professional		$1,255.77	$1,758.08	$2,134.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,267.00 / $26,451.00	Facility		$5,799.00	$12,267.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,184.80 / $1,746.26 / $5,135.76	Professional		$1,184.80	$1,746.26	$5,135.76