Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,212.00 / $18,681.00	Facility		$2,197.85	$8,212.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.93 / $1,498.71 / $7,423.79	Professional		$1,222.93	$1,498.71	$7,423.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,754.78 / $2,299.94 / $4,422.04	Professional		$1,754.78	$2,299.94	$4,422.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $10,378.59	Facility		$64.40	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.65 / $1,763.49 / $4,246.52	Professional		$1,122.65	$1,763.49	$4,246.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,432.01 / $1,861.62 / $5,466.76	Professional		$1,432.01	$1,861.62	$5,466.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,204.39 / $1,674.54 / $2,009.45	Professional		$1,204.39	$1,674.54	$2,009.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.84 / $1,865.29 / $3,314.94	Professional		$1,434.84	$1,865.29	$3,314.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $13,960.05	Facility		$2,000.00	$2,000.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,165.76 / $10,488.80 / $11,841.08	Professional		$10,165.76	$10,488.80	$11,841.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,506.79 / $1,899.40 / $2,572.50	Facility		$1,506.79	$1,899.40	$2,572.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.43 / $1,939.31 / $4,130.14	Professional		$1,434.43	$1,939.31	$4,130.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,606.33 / $4,606.33 / $4,606.33	Professional		$4,606.33	$4,606.33	$4,606.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,204.39 / $1,806.59 / $2,278.25	Professional		$1,204.39	$1,806.59	$2,278.25
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 $1,159.49 / $1,682.44 / $4,485.79	Professional		$1,159.49	$1,682.44	$4,485.79