Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,347.35 / $9,639.00 / $20,509.00	Facility		$1,347.35	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.97 / $1,347.35 / $6,693.67	Professional		$1,233.97	$1,347.35	$6,693.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,661.66 / $2,427.33 / $4,422.82	Professional		$1,661.66	$2,427.33	$4,422.82
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 $855.91 / $1,317.24 / $2,935.07	Professional		$855.91	$1,317.24	$2,935.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.10 / $1,667.32 / $4,231.06	Professional		$1,330.10	$1,667.32	$4,231.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $909.16 / $1,146.52 / $1,704.99	Professional		$909.16	$1,146.52	$1,704.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.38 / $1,527.74 / $2,807.35	Professional		$1,180.38	$1,527.74	$2,807.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,339.92 / $16,392.97	Facility		$55.00	$13,339.92	$16,392.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,420.00 / $11,420.00 / $11,420.00	Professional		$11,420.00	$11,420.00	$11,420.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,278.95 / $1,705.10 / $2,358.36	Facility		$1,278.95	$1,705.10	$2,358.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,316.90 / $1,664.50 / $3,878.26	Professional		$1,316.90	$1,664.50	$3,878.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,153.31 / $4,153.31 / $4,153.31	Professional		$4,153.31	$4,153.31	$4,153.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $909.16 / $1,272.82 / $1,719.78	Professional		$909.16	$1,272.82	$1,719.78
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 $1,117.36 / $1,618.26 / $3,314.84	Professional		$1,117.36	$1,618.26	$3,314.84