Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.47 / $9,639.00 / $20,509.00	Facility		$1,280.47	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,097.09 / $1,319.30 / $7,270.95	Professional		$1,097.09	$1,319.30	$7,270.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,932.00 / $18,903.00	Facility		$4,043.00	$8,932.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,625.79 / $2,130.89 / $4,096.99	Professional		$1,625.79	$2,130.89	$4,096.99
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 $922.47 / $1,422.55 / $3,489.32	Professional		$922.47	$1,422.55	$3,489.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,324.30 / $1,745.91 / $5,014.06	Professional		$1,324.30	$1,745.91	$5,014.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $628.80 / $951.59 / $1,890.17	Professional		$628.80	$951.59	$1,890.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,417.63 / $1,818.10 / $3,294.01	Professional		$1,417.63	$1,818.10	$3,294.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,433.83 / $11,446.12	Facility		$55.00	$9,433.83	$11,446.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,699.04 / $10,273.12 / $12,422.93	Professional		$9,699.04	$10,273.12	$12,422.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,356.60 / $1,758.87 / $2,440.63	Facility		$1,356.60	$1,758.87	$2,440.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,324.30 / $1,754.68 / $3,959.33	Professional		$1,324.30	$1,754.68	$3,959.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,511.47 / $4,511.47 / $4,511.47	Professional		$4,511.47	$4,511.47	$4,511.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $628.80 / $1,110.18 / $1,746.07	Professional		$628.80	$1,110.18	$1,746.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,128.90 / $1,608.79 / $4,651.35	Professional		$1,128.90	$1,608.79	$4,651.35