Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,246.84 / $9,639.00 / $20,509.00	Facility		$1,246.84	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,134.21 / $1,246.84 / $6,171.61	Professional		$1,134.21	$1,246.84	$6,171.61
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 $1,565.85 / $2,237.46 / $4,083.30	Professional		$1,565.85	$2,237.46	$4,083.30
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 $944.57 / $1,445.42 / $3,111.84	Professional		$944.57	$1,445.42	$3,111.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.30 / $1,483.22 / $3,669.23	Professional		$1,205.30	$1,483.22	$3,669.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $698.43 / $880.78 / $1,379.05	Professional		$698.43	$880.78	$1,379.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,034.29 / $1,341.86 / $2,463.80	Professional		$1,034.29	$1,341.86	$2,463.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,595.08 / $11,795.22	Facility		$55.00	$9,595.08	$11,795.22
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 $1,136.36 / $1,529.39 / $2,163.44	Facility		$1,136.36	$1,529.39	$2,163.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,199.28 / $1,481.94 / $3,444.95	Professional		$1,199.28	$1,481.94	$3,444.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,829.37 / $3,829.37 / $3,829.37	Professional		$3,829.37	$3,829.37	$3,829.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $698.43 / $1,047.65 / $1,321.17	Professional		$698.43	$1,047.65	$1,321.17
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 $1,026.03 / $1,415.20 / $3,006.21	Professional		$1,026.03	$1,415.20	$3,006.21