Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.91 / $1,180.96 / $5,568.44	Professional		$1,016.91	$1,180.96	$5,568.44
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 $1,218.00 / $1,580.65 / $3,166.86	Professional		$1,218.00	$1,580.65	$3,166.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $9,778.71	Facility		$66.00	$100.00	$9,778.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $726.49 / $1,116.41 / $2,747.99	Professional		$726.49	$1,116.41	$2,747.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,029.86 / $1,386.60 / $4,193.12	Professional		$1,029.86	$1,386.60	$4,193.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,179.58 / $1,297.54 / $2,320.83	Professional		$1,179.58	$1,297.54	$2,320.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.33 / $1,356.52 / $2,438.02	Professional		$1,058.33	$1,356.52	$2,438.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,892.52 / $9,388.90 / $26,542.00	Facility		$3,892.52	$9,388.90	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,061.00 / $8,061.00 / $8,784.90	Professional		$8,061.00	$8,061.00	$8,784.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,090.07 / $1,373.14 / $2,091.14	Facility		$1,090.07	$1,373.14	$2,091.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,056.07 / $1,397.01 / $3,004.85	Professional		$1,056.07	$1,397.01	$3,004.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,455.10 / $3,455.10 / $3,455.10	Professional		$3,455.10	$3,455.10	$3,455.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $882.03 / $1,252.55 / $3,383.26	Professional		$882.03	$1,252.55	$3,383.26