Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,833.00 / $22,210.00	Facility		$2,645.00	$9,833.00	$22,210.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.59 / $1,634.03 / $8,072.83	Professional		$1,322.59	$1,634.03	$8,072.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,905.00 / $17,774.00	Facility		$3,242.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.98 / $2,048.23 / $4,402.67	Professional		$1,521.98	$2,048.23	$4,402.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.81 / $1,810.84 / $4,345.43	Professional		$1,148.81	$1,810.84	$4,345.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.92 / $1,992.29 / $5,619.52	Professional		$1,466.92	$1,992.29	$5,619.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,886.20 / $2,546.37	Professional		$674.61	$1,886.20	$2,546.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,594.35 / $2,078.41 / $3,701.59	Professional		$1,594.35	$2,078.41	$3,701.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,578.68 / $16,547.20 / $26,542.00	Facility		$8,578.68	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,232.08 / $11,588.56 / $13,107.00	Professional		$11,232.08	$11,588.56	$13,107.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,563.27 / $1,993.06 / $3,017.92	Facility		$1,563.27	$1,993.06	$3,017.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,466.94 / $2,083.66 / $4,557.80	Professional		$1,466.94	$2,083.66	$4,557.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,009.03 / $5,009.03 / $5,009.03	Professional		$5,009.03	$5,009.03	$5,009.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,191.03 / $2,095.42	Professional		$674.61	$1,191.03	$2,095.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,255.05 / $1,838.62 / $5,227.38	Professional		$1,255.05	$1,838.62	$5,227.38