Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.26 / $9,639.00 / $20,509.00	Facility		$1,683.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,465.66 / $1,629.09 / $7,607.95	Professional		$1,465.66	$1,629.09	$7,607.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.79 / $6,945.00 / $18,150.00	Facility		$1,213.79	$6,945.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,597.02 / $2,729.20 / $5,140.00	Professional		$1,597.02	$2,729.20	$5,140.00
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 $1,223.02 / $1,879.07 / $4,018.35	Professional		$1,223.02	$1,879.07	$4,018.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,531.44 / $1,911.37 / $4,603.28	Professional		$1,531.44	$1,911.37	$4,603.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $988.08 / $1,246.05 / $1,869.08	Professional		$988.08	$1,246.05	$1,869.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,332.44 / $1,730.10 / $3,175.81	Professional		$1,332.44	$1,730.10	$3,175.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,999.84 / $27,066.08	Facility		$55.00	$21,999.84	$27,066.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,342.24 / $10,612.00 / $12,671.48	Professional		$10,342.24	$10,612.00	$12,671.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,465.66 / $1,977.93 / $2,623.40	Facility		$1,465.66	$1,977.93	$2,623.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,531.44 / $1,911.84 / $4,269.67	Professional		$1,531.44	$1,911.84	$4,269.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,720.57 / $4,720.57 / $4,720.57	Professional		$4,720.57	$4,720.57	$4,720.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $988.08 / $1,399.29 / $1,869.08	Professional		$988.08	$1,399.29	$1,869.08
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 $1,271.66 / $1,813.80 / $3,978.22	Professional		$1,271.66	$1,813.80	$3,978.22