Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.89 / $9,838.94 / $20,509.00	Facility		$1,655.89	$9,838.94	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,463.53 / $1,870.14 / $8,988.54	Professional		$1,463.53	$1,870.14	$8,988.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,241.00 / $18,708.00	Facility		$3,145.00	$9,241.00	$18,708.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,190.39 / $2,870.91 / $5,366.59	Professional		$2,190.39	$2,870.91	$5,366.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,110.11 / $1,725.84 / $4,199.12	Professional		$1,110.11	$1,725.84	$4,199.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,549.88 / $2,159.08 / $5,811.38	Professional		$1,549.88	$2,159.08	$5,811.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,923.48 / $2,308.17	Professional		$1,096.42	$1,923.48	$2,308.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,735.63 / $2,263.38 / $4,022.44	Professional		$1,735.63	$2,263.38	$4,022.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,518.80 / $24,868.92	Facility		$55.00	$20,518.80	$24,868.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,445.12 / $12,731.92 / $16,165.28	Professional		$12,445.12	$12,731.92	$16,165.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,208.21 / $3,077.57	Facility		$1,761.60	$2,208.21	$3,077.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,549.88 / $2,223.62 / $4,793.50	Professional		$1,549.88	$2,223.62	$4,793.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,577.23 / $5,577.23 / $5,577.23	Professional		$5,577.23	$5,577.23	$5,577.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,760.79 / $2,128.31	Professional		$1,096.42	$1,760.79	$2,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,403.29 / $2,093.46 / $6,321.69	Professional		$1,403.29	$2,093.46	$6,321.69