Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.19 / $8,639.00 / $19,368.00	Facility		$1,538.19	$8,639.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.06 / $1,326.55 / $7,054.37	Professional		$1,027.06	$1,326.55	$7,054.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,320.83 / $1,874.12 / $3,941.30	Professional		$1,320.83	$1,874.12	$3,941.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,847.40	Facility		$66.00	$100.00	$11,847.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $955.62 / $1,392.41 / $3,376.49	Professional		$955.62	$1,392.41	$3,376.49
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 $1,130.79 / $1,612.08 / $3,698.51	Professional		$1,130.79	$1,612.08	$3,698.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $832.84 / $1,500.40 / $2,355.59	Professional		$832.84	$1,500.40	$2,355.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,200.98 / $1,706.10 / $3,013.00	Professional		$1,200.98	$1,706.10	$3,013.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,098.92 / $8,250.36 / $26,542.00	Facility		$8,098.92	$8,250.36	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,520.32 / $10,848.96 / $12,827.93	Professional		$8,520.32	$10,848.96	$12,827.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,155.39 / $1,603.01 / $2,404.52	Facility		$1,155.39	$1,603.01	$2,404.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,160.30 / $1,696.04 / $3,698.51	Professional		$1,160.30	$1,696.04	$3,698.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,862.66 / $3,862.66 / $4,913.34	Professional		$3,862.66	$3,862.66	$4,913.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,050.27 / $1,470.38 / $2,012.21	Professional		$1,050.27	$1,470.38	$2,012.21
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 $1,193.26 / $1,768.48 / $4,785.22	Professional		$1,193.26	$1,768.48	$4,785.22