Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.32 / $9,665.00 / $22,788.00	Facility		$1,137.32	$9,665.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $976.27 / $1,174.00 / $6,292.58	Professional		$976.27	$1,174.00	$6,292.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $9,260.00 / $17,774.00	Facility		$3,204.00	$9,260.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,458.41 / $1,911.50 / $3,675.19	Professional		$1,458.41	$1,911.50	$3,675.19
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 $883.78 / $1,362.99 / $3,322.32	Professional		$883.78	$1,362.99	$3,322.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.69 / $1,568.10 / $4,536.27	Professional		$1,227.69	$1,568.10	$4,536.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $607.97 / $920.03 / $1,547.69	Professional		$607.97	$920.03	$1,547.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,170.86 / $1,509.54 / $2,696.87	Professional		$1,170.86	$1,509.54	$2,696.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,742.91 / $18,224.57	Facility		$55.00	$14,742.91	$18,224.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,587.04 / $8,792.95 / $10,467.68	Professional		$8,587.04	$8,792.95	$10,467.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,223.95 / $1,497.05 / $2,119.15	Facility		$1,223.95	$1,497.05	$2,119.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,225.84 / $1,568.72 / $3,409.93	Professional		$1,225.84	$1,568.72	$3,409.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,904.42 / $3,904.42 / $3,904.42	Professional		$3,904.42	$3,904.42	$3,904.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $607.97 / $1,039.22 / $1,428.93	Professional		$607.97	$1,039.22	$1,428.93
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 $997.08 / $1,431.65 / $4,018.80	Professional		$997.08	$1,431.65	$4,018.80