Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,424.00 / $19,860.00	Facility		$2,616.00	$9,424.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.31 / $1,651.11 / $8,827.25	Professional		$1,534.31	$1,651.11	$8,827.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,308.33 / $9,557.00 / $19,252.00	Facility		$3,308.33	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,827.87 / $3,541.69 / $6,616.65	Professional		$2,827.87	$3,541.69	$6,616.65
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 $1,216.60 / $1,866.28 / $4,584.47	Professional		$1,216.60	$1,866.28	$4,584.47
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 $1,661.95 / $2,177.69 / $6,577.14	Professional		$1,661.95	$2,177.69	$6,577.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,449.36 / $1,981.45 / $2,674.96	Professional		$1,449.36	$1,981.45	$2,674.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,707.59 / $2,219.87 / $3,937.03	Professional		$1,707.59	$2,219.87	$3,937.03
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 $12,128.24 / $12,499.76 / $14,113.05	Professional		$12,128.24	$12,499.76	$14,113.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,674.68 / $2,156.04 / $3,170.32	Facility		$1,674.68	$2,156.04	$3,170.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,669.37 / $2,263.87 / $4,933.62	Professional		$1,669.37	$2,263.87	$4,933.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,477.13 / $5,477.13 / $5,477.13	Professional		$5,477.13	$5,477.13	$5,477.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,449.36 / $2,029.11 / $2,463.92	Professional		$1,449.36	$2,029.11	$2,463.92
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,340.37 / $1,970.40 / $6,068.29	Professional		$1,340.37	$1,970.40	$6,068.29