Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.23 / $1,296.47 / $6,258.32	Professional		$1,124.23	$1,296.47	$6,258.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,822.00 / $8,727.00 / $17,774.00	Facility		$2,822.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.63 / $1,799.26 / $3,515.82	Professional		$1,322.63	$1,799.26	$3,515.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,463.06	Facility		$66.00	$100.00	$7,463.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $867.60 / $1,344.79 / $3,267.76	Professional		$867.60	$1,344.79	$3,267.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,201.34 / $1,565.14 / $4,619.08	Professional		$1,201.34	$1,565.14	$4,619.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,319.55 / $1,583.46	Professional		$927.77	$1,319.55	$1,583.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.99 / $1,517.99 / $2,729.96	Professional		$1,185.99	$1,517.99	$2,729.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,365.20 / $8,159.60	Facility		$55.00	$4,365.20	$8,159.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,273.00 / $10,273.00 / $10,273.00	Professional		$10,273.00	$10,273.00	$10,273.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,225.54 / $1,612.24 / $2,338.54	Facility		$1,225.54	$1,612.24	$2,338.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.22 / $1,591.67 / $3,344.66	Professional		$1,202.22	$1,591.67	$3,344.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,883.16 / $3,883.16 / $3,883.16	Professional		$3,883.16	$3,883.16	$3,883.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,391.66 / $1,754.99	Professional		$927.77	$1,391.66	$1,754.99
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $970.11 / $1,422.64 / $3,907.56	Professional		$970.11	$1,422.64	$3,907.56