Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,324.48 / $9,639.00 / $20,509.00	Facility		$1,324.48	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.46 / $1,275.07 / $6,294.92	Professional		$1,127.46	$1,275.07	$6,294.92
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 $1,360.04 / $1,882.59 / $3,547.23	Professional		$1,360.04	$1,882.59	$3,547.23
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 $841.66 / $1,293.82 / $3,183.64	Professional		$841.66	$1,293.82	$3,183.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,143.88 / $1,543.88 / $4,697.17	Professional		$1,143.88	$1,543.88	$4,697.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $963.88 / $1,310.77 / $1,572.92	Professional		$963.88	$1,310.77	$1,572.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,179.69 / $1,508.93 / $2,682.94	Professional		$1,179.69	$1,508.93	$2,682.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,704.87 / $11,233.28	Facility		$55.00	$8,704.87	$11,233.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,607.04 / $8,934.95 / $9,815.10	Professional		$8,607.04	$8,934.95	$9,815.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,257.44 / $1,609.07 / $2,296.53	Facility		$1,257.44	$1,609.07	$2,296.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,181.24 / $1,562.02 / $3,387.83	Professional		$1,181.24	$1,562.02	$3,387.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,905.88 / $3,905.88 / $3,905.88	Professional		$3,905.88	$3,905.88	$3,905.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $963.88 / $1,445.83 / $1,823.30	Professional		$963.88	$1,445.83	$1,823.30
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 $990.64 / $1,516.33 / $3,803.03	Professional		$990.64	$1,516.33	$3,803.03