Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.28 / $9,639.00 / $20,509.00	Facility		$1,200.28	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,090.67 / $1,200.28 / $6,433.26	Professional		$1,090.67	$1,200.28	$6,433.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,216.00 / $21,514.00	Facility		$3,612.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.69 / $2,228.31 / $4,176.28	Professional		$1,636.69	$2,228.31	$4,176.28
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 $888.45 / $1,366.13 / $3,044.01	Professional		$888.45	$1,366.13	$3,044.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.11 / $1,520.97 / $3,809.95	Professional		$1,207.11	$1,520.97	$3,809.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,313.12 / $1,707.06	Professional		$1,116.90	$1,313.12	$1,707.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.25 / $1,473.24 / $2,744.26	Professional		$1,173.25	$1,473.24	$2,744.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,427.84 / $22,811.20	Facility		$55.00	$18,427.84	$22,811.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,763.92 / $8,962.79 / $10,599.23	Professional		$8,763.92	$8,962.79	$10,599.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.70 / $1,638.59 / $2,173.59	Facility		$1,227.70	$1,638.59	$2,173.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,207.11 / $1,507.43 / $3,480.11	Professional		$1,207.11	$1,507.43	$3,480.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,991.70 / $3,991.70 / $3,991.70	Professional		$3,991.70	$3,991.70	$3,991.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,455.09 / $2,112.75	Professional		$1,116.90	$1,455.09	$2,112.75
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 $1,024.49 / $1,467.97 / $4,096.31	Professional		$1,024.49	$1,467.97	$4,096.31