Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.38 / $9,639.00 / $20,509.00	Facility		$1,064.38	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $902.55 / $1,022.10 / $5,026.96	Professional		$902.55	$1,022.10	$5,026.96
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 $1,085.43 / $1,430.22 / $2,763.21	Professional		$1,085.43	$1,430.22	$2,763.21
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 $663.61 / $1,021.62 / $2,510.14	Professional		$663.61	$1,021.62	$2,510.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $918.52 / $1,233.29 / $3,758.69	Professional		$918.52	$1,233.29	$3,758.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,054.44 / $1,265.33	Professional		$759.12	$1,054.44	$1,265.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $946.24 / $1,212.60 / $2,152.28	Professional		$946.24	$1,212.60	$2,152.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,961.04 / $8,810.40	Facility		$55.00	$6,961.04	$8,810.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,882.00 / $7,034.40 / $7,855.20	Professional		$6,882.00	$7,034.40	$7,855.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,010.44 / $1,285.66 / $1,699.26	Facility		$1,010.44	$1,285.66	$1,699.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $944.79 / $1,244.93 / $2,724.43	Professional		$944.79	$1,244.93	$2,724.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,119.15 / $3,119.15 / $3,119.15	Professional		$3,119.15	$3,119.15	$3,119.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $759.12 / $1,138.68 / $1,435.97	Professional		$759.12	$1,138.68	$1,435.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,890.00 / $5,067.00 / $20,279.00	Facility		$1,890.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.47 / $1,218.35 / $3,579.33	Professional		$795.47	$1,218.35	$3,579.33