Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.11 / $9,639.00 / $20,509.00	Facility		$1,573.11	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,538.19 / $1,630.52 / $8,844.48	Professional		$1,538.19	$1,630.52	$8,844.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,697.00 / $22,145.00	Facility		$3,612.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,972.89 / $2,545.02 / $5,120.85	Professional		$1,972.89	$2,545.02	$5,120.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $997.62 / $1,558.93 / $3,868.80	Professional		$997.62	$1,558.93	$3,868.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,591.69 / $2,123.73 / $6,072.82	Professional		$1,591.69	$2,123.73	$6,072.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $2,150.92	Professional		$843.26	$1,276.09	$2,150.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,632.74 / $2,134.94 / $3,757.51	Professional		$1,632.74	$2,134.94	$3,757.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,600.45 / $25,490.14	Facility		$55.00	$20,600.45	$25,490.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,993.84 / $12,296.88 / $14,621.78	Professional		$11,993.84	$12,296.88	$14,621.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,512.72 / $2,021.82 / $2,836.96	Facility		$1,512.72	$2,021.82	$2,836.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,504.32 / $2,123.73 / $4,764.95	Professional		$1,504.32	$2,123.73	$4,764.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,487.83 / $5,487.83 / $5,487.83	Professional		$5,487.83	$5,487.83	$5,487.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,444.16 / $1,985.72	Professional		$843.26	$1,444.16	$1,985.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,392.23 / $1,953.89 / $5,523.98	Professional		$1,392.23	$1,953.89	$5,523.98