Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,421.00 / $9,639.00 / $21,258.00	Facility		$2,421.00	$9,639.00	$21,258.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,120.97 / $1,559.61 / $7,775.82	Professional		$1,120.97	$1,559.61	$7,775.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $10,759.00 / $21,510.00	Facility		$2,456.00	$10,759.00	$21,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.26 / $1,808.12 / $3,671.95	Professional		$1,293.26	$1,808.12	$3,671.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $14,991.47	Facility		$66.00	$100.00	$14,991.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,024.31 / $1,485.51 / $3,407.06	Professional		$1,024.31	$1,485.51	$3,407.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.57 / $2,256.40 / $3,075.60	Facility		$1,115.57	$2,256.40	$3,075.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,274.61 / $1,724.60 / $3,947.68	Professional		$1,274.61	$1,724.60	$3,947.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $1,811.67 / $2,355.17	Professional		$1,143.33	$1,811.67	$2,355.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,416.26 / $1,880.77 / $3,546.00	Professional		$1,416.26	$1,880.77	$3,546.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,191.74 / $11,500.00 / $26,542.00	Facility		$8,191.74	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,894.88 / $11,285.44 / $12,389.78	Professional		$10,894.88	$11,285.44	$12,389.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,561.63 / $1,918.43 / $2,839.17	Facility		$1,561.63	$1,918.43	$2,839.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,300.33 / $1,881.71 / $4,025.40	Professional		$1,300.33	$1,881.71	$4,025.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,824.76 / $4,824.76 / $4,824.76	Professional		$4,824.76	$4,824.76	$4,824.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,441.83 / $1,715.00 / $2,451.12	Professional		$1,441.83	$1,715.00	$2,451.12
United Facility/Professional Facility Modifier Low / Median / High Price $4,331.00 / $9,758.00 / $21,278.00	Facility		$4,331.00	$9,758.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,121.58 / $1,453.90 / $3,201.94	Professional		$1,121.58	$1,453.90	$3,201.94