Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.67 / $9,639.00 / $20,509.00	Facility		$1,026.67	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.44 / $1,026.67 / $5,576.50	Professional		$888.44	$1,026.67	$5,576.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.80 / $1,494.90 / $3,022.43	Professional		$1,108.80	$1,494.90	$3,022.43
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 $724.86 / $1,118.94 / $2,741.85	Professional		$724.86	$1,118.94	$2,741.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,386.62 / $3,710.86	Professional		$975.00	$1,386.62	$3,710.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,084.55 / $1,411.45	Professional		$716.68	$1,084.55	$1,411.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.58 / $1,358.22 / $2,433.73	Professional		$1,058.58	$1,358.22	$2,433.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,182.24 / $20,009.28	Facility		$55.00	$16,182.24	$20,009.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,661.36 / $7,830.64 / $9,356.18	Professional		$7,661.36	$7,830.64	$9,356.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,105.51 / $1,365.66 / $1,856.13	Facility		$1,105.51	$1,365.66	$1,856.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $976.30 / $1,393.65 / $3,036.55	Professional		$976.30	$1,393.65	$3,036.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,460.13 / $3,460.13 / $3,460.13	Professional		$3,460.13	$3,460.13	$3,460.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $716.68 / $1,075.02 / $1,355.68	Professional		$716.68	$1,075.02	$1,355.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $5,067.00 / $20,279.00	Facility		$1,800.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.08 / $1,257.96 / $3,391.71	Professional		$885.08	$1,257.96	$3,391.71