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 $901.70 / $1,013.44 / $5,424.22	Professional		$901.70	$1,013.44	$5,424.22
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 $1,049.19 / $1,428.90 / $2,938.36	Professional		$1,049.19	$1,428.90	$2,938.36
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 $762.29 / $1,194.70 / $2,883.40	Professional		$762.29	$1,194.70	$2,883.40
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 $1,002.49 / $1,346.78 / $3,802.86	Professional		$1,002.49	$1,346.78	$3,802.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.99 / $1,193.70 / $1,611.50	Professional		$776.99	$1,193.70	$1,611.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,041.02 / $1,353.33 / $2,391.00	Professional		$1,041.02	$1,353.33	$2,391.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,679.24 / $16,547.20 / $26,542.00	Facility		$5,679.24	$16,547.20	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,569.23 / $8,569.23 / $8,633.48	Professional		$8,569.23	$8,569.23	$8,633.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,070.21 / $1,398.85 / $2,260.80	Facility		$1,070.21	$1,398.85	$2,260.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $985.52 / $1,366.37 / $2,969.14	Professional		$985.52	$1,366.37	$2,969.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,365.62 / $3,365.62 / $3,365.62	Professional		$3,365.62	$3,365.62	$3,365.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.99 / $1,165.49 / $1,469.77	Professional		$776.99	$1,165.49	$1,469.77
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 $852.58 / $1,231.60 / $3,387.30	Professional		$852.58	$1,231.60	$3,387.30