Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,272.56 / $9,639.00 / $20,509.00	Facility		$1,272.56	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.25 / $1,272.56 / $6,418.97	Professional		$1,153.25	$1,272.56	$6,418.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,557.00 / $19,252.00	Facility		$3,403.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.46 / $2,208.21 / $4,252.00	Professional		$1,479.46	$2,208.21	$4,252.00
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 $968.39 / $1,487.87 / $3,208.58	Professional		$968.39	$1,487.87	$3,208.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.52 / $1,545.48 / $3,761.57	Professional		$1,245.52	$1,545.48	$3,761.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,169.44 / $1,286.38 / $1,520.27	Professional		$1,169.44	$1,286.38	$1,520.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,052.50 / $1,361.75 / $2,502.65	Professional		$1,052.50	$1,361.75	$2,502.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,888.69 / $15,703.60	Facility		$55.00	$11,888.69	$15,703.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,130.96 / $8,951.20 / $9,964.35	Professional		$8,130.96	$8,951.20	$9,964.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,226.53 / $1,620.85 / $2,244.89	Facility		$1,226.53	$1,620.85	$2,244.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,228.13 / $1,545.48 / $3,556.77	Professional		$1,228.13	$1,545.48	$3,556.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,982.84 / $3,982.84 / $3,982.84	Professional		$3,982.84	$3,982.84	$3,982.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $941.49 / $1,102.71 / $1,294.55	Professional		$941.49	$1,102.71	$1,294.55
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 $1,058.43 / $1,508.83 / $3,262.79	Professional		$1,058.43	$1,508.83	$3,262.79