Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,498.09 / $9,639.00 / $20,509.00	Facility		$1,498.09	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.54 / $1,498.09 / $8,123.08	Professional		$1,249.54	$1,498.09	$8,123.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,759.00 / $20,341.00	Facility		$3,242.00	$9,759.00	$20,341.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,001.18 / $2,622.90 / $4,868.55	Professional		$2,001.18	$2,622.90	$4,868.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,374.24	Facility		$66.00	$100.00	$7,374.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,037.89 / $1,610.14 / $3,925.89	Professional		$1,037.89	$1,610.14	$3,925.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,903.10 / $4,612.76 / $57,325.00	Facility		$3,903.10	$4,612.76	$57,325.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.68 / $2,008.96 / $5,250.13	Professional		$1,492.68	$2,008.96	$5,250.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,731.45 / $1,904.60 / $4,331.80	Professional		$1,731.45	$1,904.60	$4,331.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,566.41 / $2,043.93 / $3,628.20	Professional		$1,566.41	$2,043.93	$3,628.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,553.68 / $22,463.88	Facility		$55.00	$18,553.68	$22,463.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,721.76 / $12,721.76 / $14,618.85	Professional		$12,721.76	$12,721.76	$14,618.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,628.92 / $1,992.50 / $2,812.50	Facility		$1,628.92	$1,992.50	$2,812.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,459.19 / $2,058.42 / $4,449.55	Professional		$1,459.19	$2,058.42	$4,449.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,040.22 / $5,040.22 / $5,040.22	Professional		$5,040.22	$5,040.22	$5,040.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,393.20 / $1,915.65 / $1,915.65	Professional		$1,393.20	$1,915.65	$1,915.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,307.57 / $1,892.98 / $5,448.78	Professional		$1,307.57	$1,892.98	$5,448.78