Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,951.37 / $11,564.00 / $55,662.00	Facility		$3,951.37	$11,564.00	$55,662.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,024.57 / $1,452.98 / $5,784.00	Professional		$1,024.57	$1,452.98	$5,784.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,117.00 / $20,634.00	Facility		$3,537.00	$10,117.00	$20,634.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.63 / $1,893.05 / $3,466.33	Professional		$1,330.63	$1,893.05	$3,466.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $100.00 / $22,464.94	Facility		$66.70	$100.00	$22,464.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $845.49 / $1,303.88 / $3,177.22	Professional		$845.49	$1,303.88	$3,177.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,185.09 / $12,122.00 / $14,932.00	Facility		$6,185.09	$12,122.00	$14,932.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.86 / $1,409.51 / $4,084.76	Professional		$1,081.86	$1,409.51	$4,084.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.03 / $1,217.40 / $1,643.49	Professional		$380.03	$1,217.40	$1,643.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,095.66 / $1,404.37 / $2,516.30	Professional		$1,095.66	$1,404.37	$2,516.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,205.80 / $26,542.00 / $27,770.10	Facility		$7,205.80	$26,542.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,009.04 / $8,246.08 / $9,372.08	Professional		$8,009.04	$8,246.08	$9,372.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,139.96 / $1,432.95 / $2,149.19	Facility		$1,139.96	$1,432.95	$2,149.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,084.82 / $1,439.05 / $3,165.50	Professional		$1,084.82	$1,439.05	$3,165.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,635.41 / $3,635.41 / $3,635.41	Professional		$3,635.41	$3,635.41	$3,635.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $380.03 / $684.05 / $1,350.49	Professional		$380.03	$684.05	$1,350.49
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $903.42 / $1,279.64 / $3,742.84	Professional		$903.42	$1,279.64	$3,742.84