Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,900.00 / $21,960.90	Facility		$2,645.00	$9,900.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.67 / $1,127.48 / $5,828.04	Professional		$958.67	$1,127.48	$5,828.04
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 $1,110.55 / $1,500.34 / $3,167.27	Professional		$1,110.55	$1,500.34	$3,167.27
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 $821.04 / $1,291.00 / $3,105.63	Professional		$821.04	$1,291.00	$3,105.63
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 $1,061.73 / $1,426.25 / $4,068.73	Professional		$1,061.73	$1,426.25	$4,068.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,311.98 / $1,771.17	Professional		$893.52	$1,311.98	$1,771.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,127.99 / $1,466.39 / $2,602.80	Professional		$1,127.99	$1,466.39	$2,602.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,115.68 / $16,547.20 / $26,542.00	Facility		$6,115.68	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,240.67 / $8,291.52 / $9,319.35	Professional		$8,240.67	$8,291.52	$9,319.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,140.55 / $1,471.28 / $2,119.50	Facility		$1,140.55	$1,471.28	$2,119.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,061.73 / $1,474.62 / $3,176.28	Professional		$1,061.73	$1,474.62	$3,176.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,616.19 / $3,616.19 / $3,616.19	Professional		$3,616.19	$3,616.19	$3,616.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,340.28 / $1,690.20	Professional		$893.52	$1,340.28	$1,690.20
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.93 / $1,325.94 / $4,090.77	Professional		$897.93	$1,325.94	$4,090.77