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 $1,169.89 / $1,628.51 / $8,131.44	Professional		$1,169.89	$1,628.51	$8,131.44
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 $1,356.11 / $1,892.80 / $3,808.49	Professional		$1,356.11	$1,892.80	$3,808.49
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 $1,056.54 / $1,529.43 / $3,516.62	Professional		$1,056.54	$1,529.43	$3,516.62
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 $1,319.06 / $1,795.14 / $4,135.67	Professional		$1,319.06	$1,795.14	$4,135.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $944.53 / $1,886.91 / $2,452.98	Professional		$944.53	$1,886.91	$2,452.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,476.78 / $1,959.65 / $3,696.00	Professional		$1,476.78	$1,959.65	$3,696.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,550.71 / $11,500.00 / $26,542.00	Facility		$8,550.71	$11,500.00	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,376.48 / $11,778.64 / $12,925.80	Professional		$11,376.48	$11,778.64	$12,925.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,630.91 / $2,020.62 / $3,021.04	Facility		$1,630.91	$2,020.62	$3,021.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,340.87 / $1,957.50 / $4,196.47	Professional		$1,340.87	$1,957.50	$4,196.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,045.41 / $5,045.41 / $5,045.41	Professional		$5,045.41	$5,045.41	$5,045.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.11 / $1,648.95 / $2,097.17	Professional		$1,191.11	$1,648.95	$2,097.17
United Facility/Professional Facility Modifier Low / Median / High Price $4,244.00 / $9,713.00 / $21,278.00	Facility		$4,244.00	$9,713.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,173.42 / $1,521.10 / $4,178.50	Professional		$1,173.42	$1,521.10	$4,178.50