Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $7,206.00 / $17,902.00	Facility		$2,387.00	$7,206.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,488.69 / $1,655.64 / $7,446.25	Professional		$1,488.69	$1,655.64	$7,446.25
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 $1,645.26 / $2,170.02 / $4,272.56	Professional		$1,645.26	$2,170.02	$4,272.56
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 $1,019.15 / $1,572.94 / $3,855.01	Professional		$1,019.15	$1,572.94	$3,855.01
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 $1,425.53 / $1,886.33 / $5,620.20	Professional		$1,425.53	$1,886.33	$5,620.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,560.11 / $2,106.15	Professional		$927.77	$1,560.11	$2,106.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.10 / $1,796.09 / $3,256.36	Professional		$1,404.10	$1,796.09	$3,256.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,181.52 / $14,302.50 / $26,542.00	Facility		$5,181.52	$14,302.50	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,605.00 / $11,605.00 / $11,681.48	Professional		$11,605.00	$11,605.00	$11,681.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,522.15 / $1,968.04 / $2,787.55	Facility		$1,522.15	$1,968.04	$2,787.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,440.87 / $1,900.33 / $4,007.84	Professional		$1,440.87	$1,900.33	$4,007.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,620.26 / $4,620.26 / $4,620.26	Professional		$4,620.26	$4,620.26	$4,620.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,420.43 / $1,754.99	Professional		$927.77	$1,420.43	$1,754.99
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 $1,181.14 / $1,759.14 / $4,996.53	Professional		$1,181.14	$1,759.14	$4,996.53