Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,020.00 / $6,423.00 / $17,380.00	Facility		$2,020.00	$6,423.00	$17,380.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,628.34 / $1,780.06 / $9,175.45	Professional		$1,628.34	$1,780.06	$9,175.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,160.00 / $6,048.00 / $13,012.00	Facility		$2,160.00	$6,048.00	$13,012.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,984.71 / $2,589.69 / $5,016.18	Professional		$1,984.71	$2,589.69	$5,016.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,646.91	Facility		$66.00	$100.00	$7,646.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,196.67 / $1,886.30 / $4,589.09	Professional		$1,196.67	$1,886.30	$4,589.09
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 $1,648.35 / $2,252.94 / $6,213.05	Professional		$1,648.35	$2,252.94	$6,213.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.82 / $2,112.39 / $2,851.73	Professional		$1,230.82	$2,112.39	$2,851.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,771.87 / $2,317.96 / $4,125.10	Professional		$1,771.87	$2,317.96	$4,125.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,084.43 / $16,394.00 / $16,547.20	Facility		$11,084.43	$16,394.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,438.72 / $12,841.28 / $14,537.78	Professional		$12,438.72	$12,841.28	$14,537.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,702.02 / $2,250.06 / $3,363.34	Facility		$1,702.02	$2,250.06	$3,363.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,648.35 / $2,323.50 / $5,083.26	Professional		$1,648.35	$2,323.50	$5,083.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,693.19 / $5,693.19 / $5,693.19	Professional		$5,693.19	$5,693.19	$5,693.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.82 / $1,920.24 / $2,346.96	Professional		$1,230.82	$1,920.24	$2,346.96
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 $1,377.33 / $1,889.77 / $5,438.49	Professional		$1,377.33	$1,889.77	$5,438.49