Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.70 / $1,106.59 / $6,081.63	Professional		$1,000.70	$1,106.59	$6,081.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,166.01 / $1,602.10 / $3,295.95	Professional		$1,166.01	$1,602.10	$3,295.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $870.85 / $1,363.88 / $3,294.05	Professional		$870.85	$1,363.88	$3,294.05
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 $1,110.70 / $1,505.25 / $4,248.17	Professional		$1,110.70	$1,505.25	$4,248.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,408.50 / $2,112.75	Professional		$1,116.90	$1,408.50	$2,112.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.84 / $1,524.71 / $2,695.26	Professional		$1,172.84	$1,524.71	$2,695.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,390.84 / $16,547.20 / $26,542.00	Facility		$6,390.84	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,614.37 / $9,614.37 / $9,717.75	Professional		$9,614.37	$9,614.37	$9,717.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.25 / $1,549.42 / $2,681.77	Facility		$1,207.25	$1,549.42	$2,681.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,107.29 / $1,533.27 / $3,282.54	Professional		$1,107.29	$1,533.27	$3,282.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,773.53 / $3,773.53 / $3,773.53	Professional		$3,773.53	$3,773.53	$3,773.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,497.39 / $2,112.75	Professional		$1,116.90	$1,497.39	$2,112.75
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 $942.73 / $1,323.59 / $3,674.63	Professional		$942.73	$1,323.59	$3,674.63