Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.16 / $9,639.00 / $20,509.00	Facility		$1,458.16	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,276.83 / $1,408.49 / $6,623.10	Professional		$1,276.83	$1,408.49	$6,623.10
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 $1,410.05 / $2,401.78 / $4,377.43	Professional		$1,410.05	$2,401.78	$4,377.43
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 $1,056.83 / $1,624.46 / $3,476.31	Professional		$1,056.83	$1,624.46	$3,476.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,321.19 / $1,647.78 / $3,957.55	Professional		$1,321.19	$1,647.78	$3,957.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $715.56 / $902.38 / $1,552.74	Professional		$715.56	$902.38	$1,552.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,164.56 / $1,509.49 / $2,772.40	Professional		$1,164.56	$1,509.49	$2,772.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,187.90 / $16,206.30	Facility		$55.00	$13,187.90	$16,206.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,197.00 / $13,197.00 / $13,197.00	Professional		$13,197.00	$13,197.00	$13,197.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,282.30 / $1,726.45 / $2,432.26	Facility		$1,282.30	$1,726.45	$2,432.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,321.19 / $1,656.19 / $3,713.69	Professional		$1,321.19	$1,656.19	$3,713.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,109.50 / $4,109.50 / $4,109.50	Professional		$4,109.50	$4,109.50	$4,109.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $715.56 / $1,171.89 / $1,432.31	Professional		$715.56	$1,171.89	$1,432.31
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 $1,101.17 / $1,525.60 / $3,357.59	Professional		$1,101.17	$1,525.60	$3,357.59