Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,175.56 / $2,175.56 / $19,507.00	Facility		$2,175.56	$2,175.56	$19,507.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,518.72 / $2,175.56 / $19,507.00	Professional		$1,518.72	$2,175.56	$19,507.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.00 / $9,030.00 / $17,774.00	Facility		$3,388.00	$9,030.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.32 / $4,406.03 / $10,353.27	Professional		$574.32	$4,406.03	$10,353.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $774.53 / $4,295.55 / $4,946.04	Professional	50	$774.53	$4,295.55	$4,946.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,062.37 / $7,651.34 / $13,848.16	Facility		$4,062.37	$7,651.34	$13,848.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $1,971.09 / $7,924.93	Professional		$459.38	$1,971.09	$7,924.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.29 / $858.54 / $5,804.71	Professional		$595.29	$858.54	$5,804.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $353.31 / $475.87 / $4,195.60	Professional		$353.31	$475.87	$4,195.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $1,721.81 / $4,197.50	Professional		$381.15	$1,721.81	$4,197.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,131.03 / $4,370.93	Facility		$55.00	$3,131.03	$4,370.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,233.84 / $16,857.77 / $20,022.30	Professional		$9,233.84	$16,857.77	$20,022.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $435.10 / $942.91 / $4,506.39	Facility		$435.10	$942.91	$4,506.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $381.15 / $1,135.33 / $7,032.56	Professional		$381.15	$1,135.33	$7,032.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,267.65 / $1,267.65 / $9,735.61	Professional		$1,267.65	$1,267.65	$9,735.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $353.31 / $459.31 / $3,455.27	Professional		$353.31	$459.31	$3,455.27
United Facility/Professional Facility Modifier Low / Median / High Price $5,931.75 / $5,931.75 / $5,931.75	Facility		$5,931.75	$5,931.75	$5,931.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,440.02 / $3,739.97 / $8,830.87	Professional		$2,440.02	$3,739.97	$8,830.87