Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,665.00 / $20,135.00	Facility		$3,089.46	$9,665.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.98 / $1,053.54 / $4,947.58	Professional		$951.98	$1,053.54	$4,947.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $8,727.00 / $17,774.00	Facility		$3,204.00	$8,727.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,143.45 / $1,854.26 / $3,352.50	Professional		$1,143.45	$1,854.26	$3,352.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,780.52	Facility		$66.00	$100.00	$12,780.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $790.47 / $1,215.24 / $2,605.12	Professional		$790.47	$1,215.24	$2,605.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,006.25 / $1,259.19 / $3,131.97	Professional		$1,006.25	$1,259.19	$3,131.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $976.23 / $1,191.35 / $1,502.40	Professional		$976.23	$1,191.35	$1,502.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $878.61 / $1,131.18 / $2,082.50	Professional		$878.61	$1,131.18	$2,082.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,856.77 / $12,124.86	Facility		$55.00	$9,856.77	$12,124.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,091.00 / $7,091.00 / $8,261.48	Professional		$7,091.00	$7,091.00	$8,261.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $965.53 / $1,298.19 / $1,818.30	Facility		$965.53	$1,298.19	$1,818.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $997.40 / $1,259.19 / $2,801.13	Professional		$997.40	$1,259.19	$2,801.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,069.88 / $3,069.88 / $3,069.88	Professional		$3,069.88	$3,069.88	$3,069.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $917.76 / $1,502.40 / $2,253.60	Professional		$917.76	$1,502.40	$2,253.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,200.00 / $9,810.00 / $22,073.00	Facility		$5,200.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $824.48 / $1,180.90 / $2,703.12	Professional		$824.48	$1,180.90	$2,703.12