Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.71 / $9,639.00 / $20,509.00	Facility		$1,244.71	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.40 / $1,244.71 / $6,078.89	Professional		$1,138.40	$1,244.71	$6,078.89
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 $1,612.05 / $2,298.09 / $4,026.12	Professional		$1,612.05	$2,298.09	$4,026.12
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 $972.85 / $1,488.12 / $3,153.29	Professional		$972.85	$1,488.12	$3,153.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.08 / $1,538.62 / $3,837.87	Professional		$1,245.08	$1,538.62	$3,837.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $720.03 / $908.01 / $1,420.20	Professional		$720.03	$908.01	$1,420.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,065.15 / $1,382.65 / $2,538.21	Professional		$1,065.15	$1,382.65	$2,538.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,889.02 / $12,158.55	Facility		$55.00	$9,889.02	$12,158.55
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 $1,170.36 / $1,573.35 / $2,276.78	Facility		$1,170.36	$1,573.35	$2,276.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,238.08 / $1,546.40 / $3,558.35	Professional		$1,238.08	$1,546.40	$3,558.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,771.83 / $3,771.83 / $3,771.83	Professional		$3,771.83	$3,771.83	$3,771.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $720.03 / $1,080.04 / $1,362.02	Professional		$720.03	$1,080.04	$1,362.02
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 $1,015.59 / $1,446.72 / $3,081.24	Professional		$1,015.59	$1,446.72	$3,081.24