Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.19 / $9,639.00 / $20,509.00	Facility		$1,133.19	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.57 / $1,149.10 / $6,227.09	Professional		$955.57	$1,149.10	$6,227.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.69 / $1,905.19 / $3,532.23	Professional		$1,415.69	$1,905.19	$3,532.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $859.02 / $1,336.56 / $3,249.30	Professional		$859.02	$1,336.56	$3,249.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,175.96 / $1,537.36 / $4,296.64	Professional		$1,175.96	$1,537.36	$4,296.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,040.58 / $1,354.14 / $1,624.97	Professional		$1,040.58	$1,354.14	$1,624.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.95 / $1,557.26 / $2,749.80	Professional		$1,206.95	$1,557.26	$2,749.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,044.21 / $26,640.85	Facility		$55.00	$21,044.21	$26,640.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,848.32 / $9,848.32 / $10,066.65	Professional		$9,848.32	$9,848.32	$10,066.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,249.91 / $1,600.94 / $2,405.15	Facility		$1,249.91	$1,600.94	$2,405.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,175.96 / $1,537.60 / $3,332.98	Professional		$1,175.96	$1,537.60	$3,332.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,863.79 / $3,863.79 / $3,863.79	Professional		$3,863.79	$3,863.79	$3,863.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,040.58 / $1,503.10 / $1,968.38	Professional		$1,040.58	$1,503.10	$1,968.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.18 / $1,369.20 / $4,248.71	Professional		$936.18	$1,369.20	$4,248.71