Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.28 / $1,055.80 / $5,655.79	Professional		$925.28	$1,055.80	$5,655.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $6,986.00 / $13,707.00	Facility		$2,456.00	$6,986.00	$13,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,394.81 / $1,828.14 / $3,514.92	Professional		$1,394.81	$1,828.14	$3,514.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $7,864.42	Facility		$66.00	$100.00	$7,864.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $737.74 / $1,144.19 / $2,790.57	Professional		$737.74	$1,144.19	$2,790.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.46 / $1,380.91 / $57,325.00	Facility		$1,168.46	$1,380.91	$57,325.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,044.92 / $1,391.80 / $3,795.41	Professional		$1,044.92	$1,391.80	$3,795.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,227.81 / $1,473.37	Professional		$893.52	$1,227.81	$1,473.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.03 / $1,433.04 / $2,554.44	Professional		$1,105.03	$1,433.04	$2,554.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,552.65 / $9,157.33 / $26,542.00	Facility		$7,552.65	$9,157.33	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,693.06 / $8,693.06 / $10,196.85	Professional		$8,693.06	$8,693.06	$10,196.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,146.43 / $1,414.84 / $2,039.33	Facility		$1,146.43	$1,414.84	$2,039.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,042.08 / $1,451.27 / $3,110.63	Professional		$1,042.08	$1,451.27	$3,110.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,509.32 / $3,509.32 / $3,509.32	Professional		$3,509.32	$3,509.32	$3,509.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,340.28 / $1,690.20	Professional		$893.52	$1,340.28	$1,690.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,842.00 / $7,163.00 / $16,148.00	Facility		$3,842.00	$7,163.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $908.61 / $1,320.30 / $3,673.33	Professional		$908.61	$1,320.30	$3,673.33