Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.63 / $9,639.00 / $20,509.00	Facility		$1,485.63	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,358.79 / $1,485.63 / $7,237.33	Professional		$1,358.79	$1,485.63	$7,237.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $7,309.00 / $15,328.00	Facility		$3,242.00	$7,309.00	$15,328.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,367.79 / $2,555.71 / $4,813.28	Professional		$1,367.79	$2,555.71	$4,813.28
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 $1,175.21 / $1,805.00 / $3,861.00	Professional		$1,175.21	$1,805.00	$3,861.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,474.04 / $1,845.68 / $4,574.24	Professional		$1,474.04	$1,845.68	$4,574.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $939.00 / $1,690.88	Professional		$744.60	$939.00	$1,690.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.16 / $1,621.25 / $3,022.34	Professional		$1,268.16	$1,621.25	$3,022.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,942.72 / $25,751.36	Facility		$55.00	$20,942.72	$25,751.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,843.04 / $10,096.79 / $12,064.35	Professional		$9,843.04	$10,096.79	$12,064.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,374.01 / $1,823.33 / $2,416.48	Facility		$1,374.01	$1,823.33	$2,416.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,464.63 / $1,845.68 / $4,282.14	Professional		$1,464.63	$1,845.68	$4,282.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,490.63 / $4,490.63 / $4,490.63	Professional		$4,490.63	$4,490.63	$4,490.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $744.60 / $1,220.70 / $1,559.68	Professional		$744.60	$1,220.70	$1,559.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,209.59 / $1,786.46 / $4,373.59	Professional		$1,209.59	$1,786.46	$4,373.59