Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $10,321.00 / $22,788.00	Facility		$2,843.00	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.25 / $1,278.67 / $4,647.58	Professional		$1,012.25	$1,278.67	$4,647.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,566.00 / $29,964.00	Facility		$3,846.00	$12,566.00	$29,964.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,307.92 / $1,962.02 / $3,706.95	Professional		$1,307.92	$1,962.02	$3,706.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.90 / $1,658.36 / $17,889.34	Facility		$66.90	$1,658.36	$17,889.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $793.58 / $1,210.80 / $2,697.90	Professional		$793.58	$1,210.80	$2,697.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,070.08 / $1,361.14 / $3,247.98	Professional		$1,070.08	$1,361.14	$3,247.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $819.02 / $1,038.75 / $1,501.05	Professional		$819.02	$1,038.75	$1,501.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,022.67 / $1,280.94 / $2,425.44	Professional		$1,022.67	$1,280.94	$2,425.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,965.13 / $13,294.93 / $13,629.00	Facility		$10,965.13	$13,294.93	$13,629.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,672.74 / $9,019.65 / $9,179.10	Professional		$8,672.74	$9,019.65	$9,179.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,171.00 / $1,467.27 / $13,335.00	Facility		$1,171.00	$1,467.27	$13,335.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,067.45 / $1,339.56 / $3,010.60	Professional		$1,067.45	$1,339.56	$3,010.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,461.48 / $3,461.48 / $3,461.48	Professional		$3,461.48	$3,461.48	$3,461.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,038.75 / $1,489.99 / $2,234.98	Professional		$1,038.75	$1,489.99	$2,234.98
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,797.00 / $32,191.00	Facility		$7,696.00	$13,797.00	$32,191.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.35 / $1,258.40 / $2,742.91	Professional		$912.35	$1,258.40	$2,742.91