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 $897.18 / $1,027.20 / $5,385.82	Professional		$897.18	$1,027.20	$5,385.82
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 $1,037.90 / $1,436.68 / $2,924.92	Professional		$1,037.90	$1,436.68	$2,924.92
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 $767.59 / $1,206.28 / $2,903.47	Professional		$767.59	$1,206.28	$2,903.47
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 $999.07 / $1,341.02 / $3,786.23	Professional		$999.07	$1,341.02	$3,786.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $1,195.42 / $1,613.82	Professional		$632.54	$1,195.42	$1,613.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.98 / $1,341.57 / $2,377.80	Professional		$1,031.98	$1,341.57	$2,377.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,605.14 / $16,547.20 / $26,542.00	Facility		$5,605.14	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,332.64 / $7,589.04 / $8,535.45	Professional		$7,332.64	$7,589.04	$8,535.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,065.81 / $1,374.83 / $1,915.18	Facility		$1,065.81	$1,374.83	$1,915.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.36 / $1,360.87 / $2,974.15	Professional		$975.36	$1,360.87	$2,974.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,341.80 / $3,341.80 / $3,341.80	Professional		$3,341.80	$3,341.80	$3,341.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $1,055.39 / $1,327.58	Professional		$632.54	$1,055.39	$1,327.58
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 $817.89 / $1,221.55 / $3,567.56	Professional		$817.89	$1,221.55	$3,567.56