Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.33 / $9,639.00 / $20,509.00	Facility		$1,274.33	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,164.86 / $1,274.33 / $6,196.71	Professional		$1,164.86	$1,274.33	$6,196.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,643.40 / $2,343.26 / $4,126.05	Professional		$1,643.40	$2,343.26	$4,126.05
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 $992.00 / $1,517.03 / $3,215.63	Professional		$992.00	$1,517.03	$3,215.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.61 / $1,533.54 / $3,706.14	Professional		$1,252.61	$1,533.54	$3,706.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $734.92 / $926.79 / $1,447.62	Professional		$734.92	$926.79	$1,447.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,085.72 / $1,409.54 / $2,587.46	Professional		$1,085.72	$1,409.54	$2,587.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,321.87 / $15,154.92	Facility		$55.00	$12,321.87	$15,154.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,997.00 / $10,997.00 / $10,997.00	Professional		$10,997.00	$10,997.00	$10,997.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,194.21 / $1,606.20 / $2,272.96	Facility		$1,194.21	$1,606.20	$2,272.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,252.61 / $1,528.86 / $3,476.11	Professional		$1,252.61	$1,528.86	$3,476.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,844.95 / $3,844.95 / $3,844.95	Professional		$3,844.95	$3,844.95	$3,844.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $734.92 / $1,102.38 / $1,390.19	Professional		$734.92	$1,102.38	$1,390.19
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 $1,035.31 / $1,474.79 / $3,382.00	Professional		$1,035.31	$1,474.79	$3,382.00