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 $1,095.73 / $1,238.56 / $6,067.68	Professional		$1,095.73	$1,238.56	$6,067.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,166.00 / $15,328.00	Facility		$2,629.00	$7,166.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,312.07 / $1,719.69 / $3,390.66	Professional		$1,312.07	$1,719.69	$3,390.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,521.05	Facility		$66.00	$100.00	$7,521.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $828.36 / $1,273.38 / $3,133.18	Professional		$828.36	$1,273.38	$3,133.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.52 / $3,764.71 / $8,869.33	Facility		$3,185.52	$3,764.71	$8,869.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,116.41 / $1,505.75 / $4,579.12	Professional		$1,116.41	$1,505.75	$4,579.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $883.10 / $1,275.66 / $1,722.14	Professional		$883.10	$1,275.66	$1,722.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.08 / $1,468.20 / $2,609.62	Professional		$1,148.08	$1,468.20	$2,609.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,403.76 / $14,302.50 / $16,394.00	Facility		$7,403.76	$14,302.50	$16,394.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,743.17 / $9,743.17 / $9,743.17	Professional		$9,743.17	$9,743.17	$9,743.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,186.19 / $1,530.79 / $2,121.13	Facility		$1,186.19	$1,530.79	$2,121.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,140.83 / $1,513.93 / $3,266.12	Professional		$1,140.83	$1,513.93	$3,266.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,764.88 / $3,764.88 / $3,764.88	Professional		$3,764.88	$3,764.88	$3,764.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $883.10 / $1,236.33 / $1,501.26	Professional		$883.10	$1,236.33	$1,501.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,213.00 / $9,604.00 / $20,495.00	Facility		$5,213.00	$9,604.00	$20,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $940.30 / $1,409.80 / $3,665.56	Professional		$940.30	$1,409.80	$3,665.56