Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,479.00 / $18,681.00	Facility		$2,197.85	$8,479.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,554.21 / $1,676.24 / $9,001.60	Professional		$1,554.21	$1,676.24	$9,001.60
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 $2,609.73 / $3,293.13 / $6,315.27	Professional		$2,609.73	$3,293.13	$6,315.27
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 $1,235.11 / $1,887.19 / $4,643.89	Professional		$1,235.11	$1,887.19	$4,643.89
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 $1,685.43 / $2,212.46 / $6,677.26	Professional		$1,685.43	$2,212.46	$6,677.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,467.61 / $2,015.02 / $2,720.28	Professional		$1,467.61	$2,015.02	$2,720.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,758.51 / $2,286.06 / $4,036.27	Professional		$1,758.51	$2,286.06	$4,036.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,195.66 / $16,547.20	Facility		$55.00	$11,195.66	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,553.04 / $12,882.80 / $14,585.25	Professional		$12,553.04	$12,882.80	$14,585.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,720.91 / $2,203.64 / $3,224.03	Facility		$1,720.91	$2,203.64	$3,224.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,718.15 / $2,260.55 / $5,011.42	Professional		$1,718.15	$2,260.55	$5,011.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,585.32 / $5,585.32 / $5,585.32	Professional		$5,585.32	$5,585.32	$5,585.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,467.61 / $2,054.65 / $2,494.92	Professional		$1,467.61	$2,054.65	$2,494.92
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 $1,374.25 / $2,006.38 / $5,140.79	Professional		$1,374.25	$2,006.38	$5,140.79