Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.24 / $8,639.00 / $19,368.00	Facility		$1,627.24	$8,639.00	$19,368.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,119.81 / $1,399.25 / $7,143.86	Professional		$1,119.81	$1,399.25	$7,143.86
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 $1,471.56 / $2,037.25 / $4,175.25	Professional		$1,471.56	$2,037.25	$4,175.25
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 $1,066.65 / $1,592.56 / $3,763.93	Professional		$1,066.65	$1,592.56	$3,763.93
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 $1,245.19 / $1,720.46 / $3,749.21	Professional		$1,245.19	$1,720.46	$3,749.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $988.83 / $1,517.03 / $2,274.39	Professional		$988.83	$1,517.03	$2,274.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.33 / $1,723.90 / $2,869.20	Professional		$1,221.33	$1,723.90	$2,869.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,287.68 / $8,477.40 / $26,542.00	Facility		$8,287.68	$8,477.40	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,776.32 / $10,701.68 / $12,445.95	Professional		$8,776.32	$10,701.68	$12,445.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.90 / $1,720.56 / $2,410.62	Facility		$1,330.90	$1,720.56	$2,410.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,276.05 / $1,793.88 / $3,706.29	Professional		$1,276.05	$1,793.88	$3,706.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,946.19 / $3,946.19 / $4,818.95	Professional		$3,946.19	$3,946.19	$4,818.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,113.46 / $1,531.01 / $1,943.06	Professional		$1,113.46	$1,531.01	$1,943.06
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 $1,202.51 / $1,762.00 / $4,777.75	Professional		$1,202.51	$1,762.00	$4,777.75