Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $6,880.00 / $17,902.00	Facility		$2,387.00	$6,880.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.72 / $1,168.79 / $5,326.91	Professional		$1,060.72	$1,168.79	$5,326.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,905.00 / $17,774.00	Facility		$3,204.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,178.83 / $1,529.77 / $3,018.69	Professional		$1,178.83	$1,529.77	$3,018.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $8,427.70	Facility		$66.00	$100.00	$8,427.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $1,106.76 / $2,712.12	Professional		$717.00	$1,106.76	$2,712.12
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 $1,019.72 / $1,351.62 / $4,027.56	Professional		$1,019.72	$1,351.62	$4,027.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,124.67 / $1,518.30	Professional		$590.47	$1,124.67	$1,518.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $1,293.53 / $2,325.71	Professional		$1,010.00	$1,293.53	$2,325.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,716.16 / $14,302.50 / $26,542.00	Facility		$3,716.16	$14,302.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,823.00 / $7,823.00 / $8,385.98	Professional		$7,823.00	$7,823.00	$8,385.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,084.55 / $1,418.80 / $1,938.00	Facility		$1,084.55	$1,418.80	$1,938.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,030.83 / $1,361.10 / $2,869.67	Professional		$1,030.83	$1,361.10	$2,869.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,305.23 / $3,305.23 / $3,305.23	Professional		$3,305.23	$3,305.23	$3,305.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $590.47 / $1,003.80 / $1,248.54	Professional		$590.47	$1,003.80	$1,248.54
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 $830.48 / $1,216.35 / $2,980.49	Professional		$830.48	$1,216.35	$2,980.49