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 $1,067.81 / $1,245.26 / $6,484.36	Professional		$1,067.81	$1,245.26	$6,484.36
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 $1,243.17 / $1,703.85 / $3,516.50	Professional		$1,243.17	$1,703.85	$3,516.50
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 $934.31 / $1,464.69 / $3,534.10	Professional		$934.31	$1,464.69	$3,534.10
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 $1,182.08 / $1,578.86 / $4,518.92	Professional		$1,182.08	$1,578.86	$4,518.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,253.60	Professional		$1,191.35	$1,502.40	$2,253.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,250.54 / $1,625.70 / $2,876.43	Professional		$1,250.54	$1,625.70	$2,876.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,806.52 / $16,547.20 / $26,542.00	Facility		$6,806.52	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $14,283.70	Professional		$14,283.70	$14,283.70	$14,283.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.75 / $1,642.74 / $2,857.35	Facility		$1,288.75	$1,642.74	$2,857.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,180.52 / $1,635.67 / $3,479.20	Professional		$1,180.52	$1,635.67	$3,479.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,023.42 / $4,023.42 / $4,023.42	Professional		$4,023.42	$4,023.42	$4,023.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,600.74 / $2,253.60	Professional		$1,191.35	$1,600.74	$2,253.60
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 $1,006.80 / $1,455.45 / $4,336.51	Professional		$1,006.80	$1,455.45	$4,336.51