Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,247.29 / $9,674.00 / $20,509.00	Facility		$1,247.29	$9,674.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,124.76 / $1,247.29 / $6,762.74	Professional		$1,124.76	$1,247.29	$6,762.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.79 / $6,363.00 / $16,635.00	Facility		$1,213.79	$6,363.00	$16,635.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,231.24 / $2,111.23 / $4,103.31	Professional		$1,231.24	$2,111.23	$4,103.31
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 $909.94 / $1,394.94 / $3,108.21	Professional		$909.94	$1,394.94	$3,108.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,181.26 / $1,567.34 / $3,918.03	Professional		$1,181.26	$1,567.34	$3,918.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $751.20 / $1,676.51	Professional		$595.67	$751.20	$1,676.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,242.70 / $1,564.19 / $2,913.92	Professional		$1,242.70	$1,564.19	$2,913.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,448.60 / $16,600.21	Facility		$55.00	$13,448.60	$16,600.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,238.64 / $9,450.16 / $11,305.95	Professional		$9,238.64	$9,450.16	$11,305.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,064.74 / $1,564.19 / $2,136.65	Facility		$1,064.74	$1,564.19	$2,136.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.26 / $1,567.34 / $3,670.87	Professional		$1,181.26	$1,567.34	$3,670.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,196.14 / $4,196.14 / $4,196.14	Professional		$4,196.14	$4,196.14	$4,196.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $595.67 / $1,012.66 / $1,547.87	Professional		$595.67	$1,012.66	$1,547.87
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 $1,073.24 / $1,567.21 / $4,086.94	Professional		$1,073.24	$1,567.21	$4,086.94