Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.21 / $9,639.00 / $20,509.00	Facility		$1,122.21	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $964.16 / $1,159.43 / $6,281.77	Professional		$964.16	$1,159.43	$6,281.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,055.00 / $23,736.18	Facility		$4,597.00	$11,055.00	$23,736.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,330.40 / $1,920.30 / $3,690.92	Professional		$1,330.40	$1,920.30	$3,690.92
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 $891.49 / $1,360.98 / $3,370.26	Professional		$891.49	$1,360.98	$3,370.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.60 / $1,537.44 / $4,438.95	Professional		$1,157.60	$1,537.44	$4,438.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $622.49 / $942.00 / $1,537.30	Professional		$622.49	$942.00	$1,537.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.82 / $1,524.81 / $2,683.67	Professional		$1,165.82	$1,524.81	$2,683.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,095.20 / $22,362.24	Facility		$55.00	$18,095.20	$22,362.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,559.04 / $8,766.48 / $10,437.83	Professional		$8,559.04	$8,766.48	$10,437.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,185.01 / $1,510.51 / $2,241.44	Facility		$1,185.01	$1,510.51	$2,241.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,146.21 / $1,537.44 / $3,400.67	Professional		$1,146.21	$1,537.44	$3,400.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,897.73 / $3,897.73 / $3,897.73	Professional		$3,897.73	$3,897.73	$3,897.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $622.49 / $1,058.23 / $1,419.25	Professional		$622.49	$1,058.23	$1,419.25
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 $960.93 / $1,388.01 / $4,027.47	Professional		$960.93	$1,388.01	$4,027.47