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 $1,133.89 / $1,226.29 / $6,731.81	Professional		$1,133.89	$1,226.29	$6,731.81
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 $1,400.57 / $1,901.25 / $3,669.50	Professional		$1,400.57	$1,901.25	$3,669.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $837.65 / $1,320.37 / $3,206.66	Professional		$837.65	$1,320.37	$3,206.66
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 $1,162.89 / $1,616.32 / $4,466.39	Professional		$1,162.89	$1,616.32	$4,466.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $854.80 / $1,546.01 / $2,087.11	Professional		$854.80	$1,546.01	$2,087.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.77 / $1,706.88 / $3,041.19	Professional		$1,311.77	$1,706.88	$3,041.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,249.08 / $16,547.20 / $26,542.00	Facility		$8,249.08	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,251.36 / $9,540.16 / $10,800.08	Professional		$9,251.36	$9,540.16	$10,800.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.89 / $1,658.83 / $2,422.50	Facility		$1,288.89	$1,658.83	$2,422.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,210.67 / $1,710.90 / $3,715.67	Professional		$1,210.67	$1,710.90	$3,715.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,176.97 / $4,176.97 / $4,176.97	Professional		$4,176.97	$4,176.97	$4,176.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $854.80 / $1,401.36 / $1,717.38	Professional		$854.80	$1,401.36	$1,717.38
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 $974.93 / $1,414.53 / $4,286.14	Professional		$974.93	$1,414.53	$4,286.14