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 $1,091.52 / $1,235.76 / $6,653.38	Professional		$1,091.52	$1,235.76	$6,653.38
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 $1,256.59 / $1,736.28 / $3,628.29	Professional		$1,256.59	$1,736.28	$3,628.29
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 $958.62 / $1,511.06 / $3,626.06	Professional		$958.62	$1,511.06	$3,626.06
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 $1,210.19 / $1,643.63 / $4,641.43	Professional		$1,210.19	$1,643.63	$4,641.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $802.68 / $1,553.41 / $2,097.10	Professional		$802.68	$1,553.41	$2,097.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,313.95 / $1,712.23 / $3,049.73	Professional		$1,313.95	$1,712.23	$3,049.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,072.38 / $16,547.20 / $26,542.00	Facility		$7,072.38	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,256.00 / $9,546.16 / $10,807.28	Professional		$9,256.00	$9,546.16	$10,807.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,291.83 / $1,663.49 / $2,485.46	Facility		$1,291.83	$1,663.49	$2,485.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,216.10 / $1,715.98 / $3,749.78	Professional		$1,216.10	$1,715.98	$3,749.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,128.31 / $4,128.31 / $4,128.31	Professional		$4,128.31	$4,128.31	$4,128.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $802.68 / $1,353.43 / $1,725.69	Professional		$802.68	$1,353.43	$1,725.69
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 $1,003.24 / $1,458.96 / $4,307.96	Professional		$1,003.24	$1,458.96	$4,307.96