Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.45 / $9,665.00 / $21,960.90	Facility		$1,366.45	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.02 / $1,366.45 / $6,904.67	Professional		$1,232.02	$1,366.45	$6,904.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,294.00 / $9,030.00 / $17,774.00	Facility		$3,294.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,852.16 / $2,402.19 / $4,566.68	Professional		$1,852.16	$2,402.19	$4,566.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $906.77 / $1,396.39 / $3,111.44	Professional		$906.77	$1,396.39	$3,111.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,791.00 / $28,791.00 / $28,791.00	Facility		$28,791.00	$28,791.00	$28,791.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.82 / $1,661.15 / $4,066.25	Professional		$1,318.82	$1,661.15	$4,066.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,165.67 / $1,417.44 / $1,748.51	Professional		$1,165.67	$1,417.44	$1,748.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.44 / $1,616.87 / $2,964.26	Professional		$1,266.44	$1,616.87	$2,964.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,936.64 / $24,723.52	Facility		$55.00	$19,936.64	$24,723.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,930.40 / $11,930.40 / $11,930.40	Professional		$11,930.40	$11,930.40	$11,930.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.49 / $1,700.93 / $2,284.37	Facility		$1,318.49	$1,700.93	$2,284.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,327.12 / $1,658.68 / $3,748.14	Professional		$1,327.12	$1,658.68	$3,748.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,284.22 / $4,284.22 / $4,284.22	Professional		$4,284.22	$4,284.22	$4,284.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,165.67 / $1,515.37 / $1,981.64	Professional		$1,165.67	$1,515.37	$1,981.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.60 / $1,563.59 / $3,515.60	Professional		$1,133.60	$1,563.59	$3,515.60