Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.20 / $9,639.00 / $20,509.00	Facility		$1,274.20	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,088.09 / $1,227.49 / $5,649.81	Professional		$1,088.09	$1,227.49	$5,649.81
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 $1,478.88 / $2,149.41 / $3,886.13	Professional		$1,478.88	$2,149.41	$3,886.13
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 $931.41 / $1,430.22 / $3,069.89	Professional		$931.41	$1,430.22	$3,069.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,140.46 / $1,420.12 / $3,421.02	Professional		$1,140.46	$1,420.12	$3,421.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $833.95 / $1,051.68 / $1,430.10	Professional		$833.95	$1,051.68	$1,430.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $990.07 / $1,285.06 / $2,359.13	Professional		$990.07	$1,285.06	$2,359.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,190.44 / $11,298.51	Facility		$55.00	$9,190.44	$11,298.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,151.00	Professional		$10,151.00	$10,151.00	$10,151.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.01 / $1,548.66 / $2,157.79	Facility		$1,148.01	$1,548.66	$2,157.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,140.46 / $1,429.53 / $3,190.78	Professional		$1,140.46	$1,429.53	$3,190.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,505.59 / $3,505.59 / $3,505.59	Professional		$3,505.59	$3,505.59	$3,505.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $833.95 / $1,167.53 / $1,577.52	Professional		$833.95	$1,167.53	$1,577.52
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 $963.09 / $1,399.66 / $3,083.84	Professional		$963.09	$1,399.66	$3,083.84