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 $1,065.48 / $1,210.23 / $6,513.64	Professional		$1,065.48	$1,210.23	$6,513.64
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 $1,224.05 / $1,678.56 / $3,553.39	Professional		$1,224.05	$1,678.56	$3,553.39
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 $917.13 / $1,445.65 / $3,469.09	Professional		$917.13	$1,445.65	$3,469.09
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 $1,175.20 / $1,608.61 / $4,515.39	Professional		$1,175.20	$1,608.61	$4,515.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,523.65 / $2,056.92	Professional		$776.25	$1,523.65	$2,056.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.76 / $1,678.04 / $2,988.33	Professional		$1,286.76	$1,678.04	$2,988.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,921.06 / $16,547.20 / $26,542.00	Facility		$6,921.06	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,059.28 / $9,347.52 / $10,578.00	Professional		$9,059.28	$9,347.52	$10,578.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,265.50 / $1,630.00 / $2,475.25	Facility		$1,265.50	$1,630.00	$2,475.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,184.30 / $1,682.26 / $3,678.43	Professional		$1,184.30	$1,682.26	$3,678.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,041.58 / $4,041.58 / $4,041.58	Professional		$4,041.58	$4,041.58	$4,041.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,319.62 / $1,692.67	Professional		$776.25	$1,319.62	$1,692.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $989.77 / $1,446.63 / $4,219.01	Professional		$989.77	$1,446.63	$4,219.01