Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.18 / $1,183.18 / $6,362.35	Professional		$1,039.18	$1,183.18	$6,362.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.36 / $1,621.58 / $3,472.10	Professional		$1,191.36	$1,621.58	$3,472.10
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 $893.70 / $1,408.72 / $3,380.47	Professional		$893.70	$1,408.72	$3,380.47
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 $1,146.63 / $1,571.73 / $4,395.75	Professional		$1,146.63	$1,571.73	$4,395.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $749.81 / $1,492.52 / $2,014.90	Professional		$749.81	$1,492.52	$2,014.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.52 / $1,642.35 / $2,924.35	Professional		$1,258.52	$1,642.35	$2,924.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,764.52 / $16,547.20 / $26,542.00	Facility		$6,764.52	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,853.76 / $9,133.36 / $10,342.28	Professional		$8,853.76	$9,133.36	$10,342.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,238.01 / $1,595.10 / $2,373.00	Facility		$1,238.01	$1,595.10	$2,373.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,156.94 / $1,645.80 / $3,602.99	Professional		$1,156.94	$1,645.80	$3,602.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,947.70 / $3,947.70 / $3,947.70	Professional		$3,947.70	$3,947.70	$3,947.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $749.81 / $1,274.68 / $1,658.12	Professional		$749.81	$1,274.68	$1,658.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $11,624.00 / $26,109.00	Facility		$2,900.00	$11,624.00	$26,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.17 / $1,382.10 / $3,973.48	Professional		$958.17	$1,382.10	$3,973.48