Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.76 / $9,639.00 / $20,509.00	Facility		$1,281.76	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,165.83 / $1,281.76 / $6,140.54	Professional		$1,165.83	$1,281.76	$6,140.54
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 $1,405.80 / $2,262.26 / $4,090.17	Professional		$1,405.80	$2,262.26	$4,090.17
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 $977.61 / $1,502.46 / $3,224.81	Professional		$977.61	$1,502.46	$3,224.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.68 / $1,537.81 / $3,819.71	Professional		$1,238.68	$1,537.81	$3,819.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,126.80 / $1,562.64	Professional		$893.52	$1,126.80	$1,562.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,081.83 / $1,400.28 / $2,573.10	Professional		$1,081.83	$1,400.28	$2,573.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,784.80 / $21,871.84	Facility		$55.00	$17,784.80	$21,871.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,743.00 / $10,743.00 / $10,743.00	Professional		$10,743.00	$10,743.00	$10,743.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,183.27 / $1,599.62 / $2,325.60	Facility		$1,183.27	$1,599.62	$2,325.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,235.01 / $1,537.81 / $3,441.06	Professional		$1,235.01	$1,537.81	$3,441.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,810.09 / $3,810.09 / $3,810.09	Professional		$3,810.09	$3,810.09	$3,810.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,250.93 / $1,690.20	Professional		$893.52	$1,250.93	$1,690.20
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 $1,024.86 / $1,476.13 / $3,173.18	Professional		$1,024.86	$1,476.13	$3,173.18