Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.83 / $9,665.00 / $21,960.90	Facility		$1,065.83	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $959.40 / $1,106.68 / $5,377.25	Professional		$959.40	$1,106.68	$5,377.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.51 / $1,882.85 / $3,555.76	Professional		$1,393.51	$1,882.85	$3,555.76
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 $757.52 / $1,162.81 / $2,590.96	Professional		$757.52	$1,162.81	$2,590.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.71 / $1,291.39 / $3,181.03	Professional		$1,053.71	$1,291.39	$3,181.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $882.66 / $1,339.69	Professional		$699.92	$882.66	$1,339.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $997.21 / $1,293.64 / $2,345.31	Professional		$997.21	$1,293.64	$2,345.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,714.88 / $19,436.32	Facility		$55.00	$15,714.88	$19,436.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,631.00 / $9,631.00 / $9,631.00	Professional		$9,631.00	$9,631.00	$9,631.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,045.75 / $1,400.08 / $1,993.96	Facility		$1,045.75	$1,400.08	$1,993.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,054.99 / $1,291.39 / $2,950.11	Professional		$1,054.99	$1,291.39	$2,950.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,336.48 / $3,336.48 / $3,336.48	Professional		$3,336.48	$3,336.48	$3,336.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $699.92 / $1,030.04 / $1,323.99	Professional		$699.92	$1,030.04	$1,323.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,159.00 / $20,279.00	Facility		$1,836.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $879.14 / $1,243.23 / $2,946.54	Professional		$879.14	$1,243.23	$2,946.54