Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,695.00 / $17,902.00	Facility		$2,197.85	$6,695.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $997.31 / $1,057.24 / $5,596.47	Professional		$997.31	$1,057.24	$5,596.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $15,328.00	Facility		$2,629.00	$7,362.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,163.45 / $1,678.80 / $3,227.79	Professional		$1,163.45	$1,678.80	$3,227.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,650.55	Facility		$66.00	$100.00	$5,650.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $791.97 / $1,204.34 / $2,970.52	Professional		$791.97	$1,204.34	$2,970.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,049.98 / $1,371.32 / $3,939.08	Professional		$1,049.98	$1,371.32	$3,939.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $609.46 / $922.28 / $1,452.56	Professional		$609.46	$922.28	$1,452.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,392.04 / $2,454.42	Professional		$1,076.40	$1,392.04	$2,454.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $5,897.00 / $11,644.00	Facility		$5,897.00	$5,897.00	$11,644.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,744.16 / $7,977.04 / $8,970.23	Professional		$7,744.16	$7,977.04	$8,970.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,115.65 / $1,426.15 / $1,936.75	Facility		$1,115.65	$1,426.15	$1,936.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,051.71 / $1,401.62 / $3,054.15	Professional		$1,051.71	$1,401.62	$3,054.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,472.52 / $3,472.52 / $3,472.52	Professional		$3,472.52	$3,472.52	$3,472.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $609.46 / $1,036.07 / $1,343.68	Professional		$609.46	$1,036.07	$1,343.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $859.88 / $1,236.26 / $3,582.84	Professional		$859.88	$1,236.26	$3,582.84