Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.21 / $838.06 / $6,424.80	Professional		$757.21	$838.06	$6,424.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,905.00 / $17,774.00	Facility		$3,242.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,142.73 / $1,596.88 / $3,171.82	Professional		$1,142.73	$1,596.88	$3,171.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $10,419.62	Facility		$66.00	$100.00	$10,419.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $671.48 / $1,034.10 / $2,472.71	Professional		$671.48	$1,034.10	$2,472.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.95 / $3,801.95 / $4,493.21	Facility		$3,801.95	$3,801.95	$4,493.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.52 / $1,387.45 / $3,417.49	Professional		$930.52	$1,387.45	$3,417.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $785.55 / $1,378.17 / $4,219.54	Professional		$785.55	$1,378.17	$4,219.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,215.84 / $1,554.13 / $2,878.99	Professional		$1,215.84	$1,554.13	$2,878.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,442.99 / $17,070.15 / $26,542.00	Facility		$13,442.99	$17,070.15	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,902.87 / $9,106.16 / $11,550.23	Professional		$8,902.87	$9,106.16	$11,550.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,112.25 / $1,525.15 / $2,310.00	Facility		$1,112.25	$1,525.15	$2,310.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $930.52 / $1,386.94 / $3,417.49	Professional		$930.52	$1,386.94	$3,417.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,986.47 / $3,986.47 / $3,986.47	Professional		$3,986.47	$3,986.47	$3,986.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $785.55 / $1,247.75 / $1,525.03	Professional		$785.55	$1,247.75	$1,525.03
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,171.00 / $30,330.00	Facility		$7,696.00	$13,171.00	$30,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $921.36 / $1,375.17 / $3,542.71	Professional		$921.36	$1,375.17	$3,542.71