Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,161.09 / $1,313.32 / $6,399.35	Professional		$1,161.09	$1,313.32	$6,399.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $9,830.00 / $20,270.29	Facility		$4,108.00	$9,830.00	$20,270.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,407.56 / $1,882.80 / $3,590.95	Professional		$1,407.56	$1,882.80	$3,590.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $814.51 / $1,255.27 / $3,080.93	Professional		$814.51	$1,255.27	$3,080.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,176.99 / $1,593.50 / $4,802.18	Professional		$1,176.99	$1,593.50	$4,802.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $931.12 / $1,348.27 / $1,617.92	Professional		$931.12	$1,348.27	$1,617.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,212.42 / $1,551.26 / $2,755.87	Professional		$1,212.42	$1,551.26	$2,755.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,926.48 / $11,306.24	Facility		$55.00	$8,926.48	$11,306.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,092.95 / $10,092.95 / $10,092.95	Professional		$10,092.95	$10,092.95	$10,092.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,250.41 / $1,565.84 / $2,177.09	Facility		$1,250.41	$1,565.84	$2,177.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,202.54 / $1,600.12 / $3,447.80	Professional		$1,202.54	$1,600.12	$3,447.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,970.68 / $3,970.68 / $3,970.68	Professional		$3,970.68	$3,970.68	$3,970.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $931.12 / $1,396.68 / $1,761.33	Professional		$931.12	$1,396.68	$1,761.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $983.93 / $1,498.00 / $4,399.22	Professional		$983.93	$1,498.00	$4,399.22