Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $5,710.00 / $17,054.00	Facility		$1,335.00	$5,710.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.78 / $1,153.58 / $5,976.25	Professional		$1,054.78	$1,153.58	$5,976.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,943.00 / $17,234.45	Facility		$2,143.00	$5,943.00	$17,234.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,182.23 / $1,591.01 / $3,238.09	Professional		$1,182.23	$1,591.01	$3,238.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,349.65	Facility		$64.20	$100.00	$5,349.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $735.39 / $1,132.89 / $2,781.65	Professional		$735.39	$1,132.89	$2,781.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,024.73 / $1,426.34 / $4,091.61	Professional		$1,024.73	$1,426.34	$4,091.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,256.79 / $1,508.15	Professional		$843.26	$1,256.79	$1,508.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,131.10 / $1,452.10 / $2,604.29	Professional		$1,131.10	$1,452.10	$2,604.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,589.89 / $9,378.67	Facility		$55.00	$7,589.89	$9,378.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,207.92 / $8,389.36 / $10,031.10	Professional		$8,207.92	$8,389.36	$10,031.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,168.24 / $1,479.71 / $2,145.00	Facility		$1,168.24	$1,479.71	$2,145.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,054.81 / $1,440.49 / $3,114.20	Professional		$1,054.81	$1,440.49	$3,114.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,708.16 / $3,708.16 / $3,708.16	Professional		$3,708.16	$3,708.16	$3,708.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,264.89 / $1,595.13	Professional		$843.26	$1,264.89	$1,595.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,437.00 / $2,753.00 / $9,380.00	Facility		$1,437.00	$2,753.00	$9,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.00 / $1,383.74 / $3,805.56	Professional		$945.00	$1,383.74	$3,805.56