Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,070.00 / $22,210.00	Facility		$3,546.09	$10,070.00	$22,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,008.19 / $1,133.21 / $5,893.08	Professional		$1,008.19	$1,133.21	$5,893.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,360.00 / $24,456.00	Facility		$3,738.00	$12,360.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,338.07 / $1,916.49 / $3,485.71	Professional		$1,338.07	$1,916.49	$3,485.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $21,563.06	Facility		$66.00	$100.00	$21,563.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $845.69 / $1,304.15 / $3,177.97	Professional		$845.69	$1,304.15	$3,177.97
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 $1,086.47 / $1,418.70 / $4,105.35	Professional		$1,086.47	$1,418.70	$4,105.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $710.39 / $1,223.89 / $1,652.25	Professional		$710.39	$1,223.89	$1,652.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,101.50 / $1,411.93 / $2,530.39	Professional		$1,101.50	$1,411.93	$2,530.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,650.00 / $27,770.10	Facility		$5,897.00	$12,650.00	$27,770.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,000.00 / $9,000.00 / $9,426.45	Professional		$9,000.00	$9,000.00	$9,426.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.22 / $1,445.11 / $2,037.75	Facility		$1,146.22	$1,445.11	$2,037.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,086.47 / $1,446.48 / $3,184.00	Professional		$1,086.47	$1,446.48	$3,184.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,656.54 / $3,656.54 / $3,656.54	Professional		$3,656.54	$3,656.54	$3,656.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $710.39 / $1,110.83 / $1,357.68	Professional		$710.39	$1,110.83	$1,357.68
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,722.00 / $29,571.00	Facility		$7,696.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.60 / $1,290.19 / $3,764.57	Professional		$881.60	$1,290.19	$3,764.57