Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $2,400.00 / $6,928.56	Facility		$1,200.00	$2,400.00	$6,928.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.67 / $1,200.00 / $7,432.00	Professional		$1,122.67	$1,200.00	$7,432.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $3,592.40 / $9,860.00	Facility		$614.00	$3,592.40	$9,860.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.59 / $3,405.90 / $7,740.00	Professional		$964.59	$3,405.90	$7,740.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,446.00 / $5,640.00	Facility		$92.60	$1,446.00	$5,640.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $1,279.49	Professional		$315.00	$450.00	$1,279.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,287.00 / $3,432.00 / $6,695.00	Facility		$1,287.00	$3,432.00	$6,695.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,065.04 / $1,720.55 / $5,414.37	Professional		$1,065.04	$1,720.55	$5,414.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,200.00 / $2,700.00	Professional		$2,000.00	$2,200.00	$2,700.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.00 / $2,300.00 / $3,900.00	Professional		$1,800.00	$2,300.00	$3,900.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,480.00 / $9,500.00 / $9,500.00	Facility		$3,480.00	$9,500.00	$9,500.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $15,000.00	Professional		$10,000.00	$10,000.00	$15,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,400.00 / $5,747.30	Facility		$1,300.00	$2,400.00	$5,747.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,329.05 / $2,200.00 / $4,000.00	Professional		$1,329.05	$2,200.00	$4,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,020.00 / $7,020.00 / $7,020.00	Professional		$7,020.00	$7,020.00	$7,020.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $2,040.00 / $3,400.00	Professional		$1,600.00	$2,040.00	$3,400.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.00 / $873.94 / $5,481.00	Professional		$840.00	$873.94	$5,481.00