Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,372.99 / $9,639.00 / $20,509.00	Facility		$1,372.99	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.64 / $1,326.99 / $5,405.00	Professional		$1,240.64	$1,326.99	$5,405.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,393.00 / $22,145.00	Facility		$3,612.00	$11,393.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,877.65 / $2,469.77 / $4,629.07	Professional		$1,877.65	$2,469.77	$4,629.07
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 $960.52 / $1,475.93 / $3,288.67	Professional		$960.52	$1,475.93	$3,288.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,336.01 / $1,675.61 / $4,144.81	Professional		$1,336.01	$1,675.61	$4,144.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $877.14 / $1,106.14 / $1,705.61	Professional		$877.14	$1,106.14	$1,705.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.23 / $1,619.00 / $2,972.93	Professional		$1,271.23	$1,619.00	$2,972.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,983.04 / $24,728.80	Facility		$55.00	$19,983.04	$24,728.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,925.93 / $12,548.98 / $12,548.98	Professional		$11,925.93	$12,548.98	$12,548.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.61 / $1,789.74 / $2,381.86	Facility		$1,330.61	$1,789.74	$2,381.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.61 / $1,668.97 / $3,773.13	Professional		$1,330.61	$1,668.97	$3,773.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,329.89 / $4,329.89 / $4,329.89	Professional		$4,329.89	$4,329.89	$4,329.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $877.14 / $1,312.56 / $1,659.21	Professional		$877.14	$1,312.56	$1,659.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,141.58 / $1,629.12 / $3,823.37	Professional		$1,141.58	$1,629.12	$3,823.37