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 $1,349.83 / $1,522.02 / $8,244.19	Professional		$1,349.83	$1,522.02	$8,244.19
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 $1,548.58 / $2,102.96 / $4,482.26	Professional		$1,548.58	$2,102.96	$4,482.26
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 $1,188.79 / $1,873.51 / $4,496.68	Professional		$1,188.79	$1,873.51	$4,496.68
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 $1,505.80 / $2,038.15 / $5,734.20	Professional		$1,505.80	$2,038.15	$5,734.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,182.42 / $1,884.00 / $2,543.40	Professional		$1,182.42	$1,884.00	$2,543.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,614.73 / $2,099.15 / $3,730.17	Professional		$1,614.73	$2,099.15	$3,730.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,742.48 / $16,547.20 / $26,542.00	Facility		$8,742.48	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,440.40 / $11,786.72 / $13,327.73	Professional		$11,440.40	$11,786.72	$13,327.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,614.73 / $2,059.23 / $3,044.07	Facility		$1,614.73	$2,059.23	$3,044.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,505.80 / $2,096.48 / $4,566.45	Professional		$1,505.80	$2,096.48	$4,566.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,115.38 / $5,115.38 / $5,115.38	Professional		$5,115.38	$5,115.38	$5,115.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,182.42 / $1,773.64 / $2,236.69	Professional		$1,182.42	$1,773.64	$2,236.69
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,341.00 / $26,672.00	Facility		$5,799.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,249.93 / $1,823.16 / $5,760.51	Professional		$1,249.93	$1,823.16	$5,760.51