Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.74 / $9,639.00 / $20,509.00	Facility		$1,220.74	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.22 / $1,220.74 / $6,734.35	Professional		$1,045.22	$1,220.74	$6,734.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,456.00 / $7,311.00 / $18,806.00	Facility		$2,456.00	$7,311.00	$18,806.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.97 / $1,931.90 / $3,714.41	Professional		$1,473.97	$1,931.90	$3,714.41
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 $873.72 / $1,343.23 / $3,304.90	Professional		$873.72	$1,343.23	$3,304.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,198.83 / $1,621.95 / $4,527.97	Professional		$1,198.83	$1,621.95	$4,527.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $1,272.16 / $1,721.86	Professional		$840.65	$1,272.16	$1,721.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.39 / $1,654.96 / $2,957.42	Professional		$1,291.39	$1,654.96	$2,957.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,535.66 / $10,615.01	Facility		$55.00	$8,535.66	$10,615.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,552.00 / $11,552.00 / $11,552.00	Professional		$11,552.00	$11,552.00	$11,552.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,313.41 / $1,656.67 / $2,285.21	Facility		$1,313.41	$1,656.67	$2,285.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,208.16 / $1,665.05 / $3,669.49	Professional		$1,208.16	$1,665.05	$3,669.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,178.54 / $4,178.54 / $4,178.54	Professional		$4,178.54	$4,178.54	$4,178.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $1,307.65 / $1,591.01	Professional		$840.65	$1,307.65	$1,591.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.44 / $1,546.52 / $4,319.43	Professional		$1,018.44	$1,546.52	$4,319.43