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 $934.04 / $1,042.85 / $5,704.34	Professional		$934.04	$1,042.85	$5,704.34
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 $1,079.08 / $1,504.70 / $3,100.97	Professional		$1,079.08	$1,504.70	$3,100.97
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 $794.68 / $1,249.56 / $3,005.91	Professional		$794.68	$1,249.56	$3,005.91
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 $1,039.78 / $1,400.85 / $3,943.86	Professional		$1,039.78	$1,400.85	$3,943.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $778.85 / $1,286.17 / $1,736.33	Professional		$778.85	$1,286.17	$1,736.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,104.18 / $1,435.43 / $2,549.25	Professional		$1,104.18	$1,435.43	$2,549.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,982.60 / $16,547.20 / $26,542.00	Facility		$5,982.60	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,569.23 / $8,569.23 / $9,116.93	Professional		$8,569.23	$8,569.23	$9,116.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.84 / $1,431.97 / $2,077.81	Facility		$1,113.84	$1,431.97	$2,077.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,039.78 / $1,444.14 / $3,111.59	Professional		$1,039.78	$1,444.14	$3,111.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,539.43 / $3,539.43 / $3,539.43	Professional		$3,539.43	$3,539.43	$3,539.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $778.85 / $1,168.77 / $1,473.29	Professional		$778.85	$1,168.77	$1,473.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,267.00 / $26,451.00	Facility		$5,284.00	$12,267.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $864.93 / $1,238.25 / $3,921.45	Professional		$864.93	$1,238.25	$3,921.45