Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,061.52 / $9,639.00 / $20,509.00	Facility		$1,061.52	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.38 / $1,061.52 / $5,174.12	Professional		$968.38	$1,061.52	$5,174.12
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 $1,415.86 / $1,894.42 / $3,421.79	Professional		$1,415.86	$1,894.42	$3,421.79
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 $848.32 / $1,303.94 / $2,794.71	Professional		$848.32	$1,303.94	$2,794.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,043.79 / $1,290.28 / $3,090.66	Professional		$1,043.79	$1,290.28	$3,090.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $829.48 / $1,014.38 / $1,318.69	Professional		$829.48	$1,014.38	$1,318.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.94 / $1,179.92 / $2,169.31	Professional		$912.94	$1,179.92	$2,169.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,297.10 / $12,663.20	Facility		$55.00	$10,297.10	$12,663.20
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 $996.77 / $1,406.89 / $2,015.88	Facility		$996.77	$1,406.89	$2,015.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,043.79 / $1,298.66 / $2,898.70	Professional		$1,043.79	$1,298.66	$2,898.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,210.45 / $3,210.45 / $3,210.45	Professional		$3,210.45	$3,210.45	$3,210.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $829.48 / $1,122.94 / $1,569.07	Professional		$829.48	$1,122.94	$1,569.07
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 $863.34 / $1,250.33 / $3,635.95	Professional		$863.34	$1,250.33	$3,635.95