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 $1,314.34 / $1,442.19 / $7,915.91	Professional		$1,314.34	$1,442.19	$7,915.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,324.00 / $21,336.00	Facility		$3,537.00	$10,324.00	$21,336.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.41 / $2,093.52 / $4,280.22	Professional		$1,498.41	$2,093.52	$4,280.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,276.89	Facility		$66.00	$100.00	$15,276.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,117.49 / $1,746.37 / $4,227.00	Professional		$1,117.49	$1,746.37	$4,227.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.60 / $2,081.89 / $4,904.76	Facility		$1,761.60	$2,081.89	$4,904.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,458.89 / $1,965.40 / $5,563.73	Professional		$1,458.89	$1,965.40	$5,563.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.94 / $1,719.42 / $2,063.30	Professional		$1,317.94	$1,719.42	$2,063.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,512.45 / $1,966.19 / $3,461.81	Professional		$1,512.45	$1,966.19	$3,461.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,281.44 / $10,568.16 / $26,542.00	Facility		$8,281.44	$10,568.16	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,853.85 / $12,853.85 / $12,853.85	Professional		$12,853.85	$12,853.85	$12,853.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.84 / $2,043.57 / $3,095.42	Facility		$1,548.84	$2,043.57	$3,095.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,452.54 / $2,007.60 / $4,339.55	Professional		$1,452.54	$2,007.60	$4,339.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,911.67 / $4,911.67 / $4,911.67	Professional		$4,911.67	$4,911.67	$4,911.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,317.94 / $1,908.95 / $2,493.05	Professional		$1,317.94	$1,908.95	$2,493.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,341.00 / $26,672.00	Facility		$5,416.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,244.00 / $1,777.88 / $5,441.79	Professional		$1,244.00	$1,777.88	$5,441.79