Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,089.46 / $9,665.00 / $20,135.00	Facility		$3,089.46	$9,665.00	$20,135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,082.86 / $1,223.75 / $6,012.65	Professional		$1,082.86	$1,223.75	$6,012.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,528.00 / $10,021.00 / $21,143.10	Facility		$4,528.00	$10,021.00	$21,143.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,309.26 / $1,736.78 / $3,344.67	Professional		$1,309.26	$1,736.78	$3,344.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,690.34	Facility		$64.20	$100.00	$5,690.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $815.39 / $1,253.59 / $3,084.26	Professional		$815.39	$1,253.59	$3,084.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.94 / $1,491.53 / $4,544.31	Professional		$1,120.94	$1,491.53	$4,544.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,264.08 / $1,516.91	Professional		$843.26	$1,264.08	$1,516.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,137.68 / $1,454.92 / $2,586.10	Professional		$1,137.68	$1,454.92	$2,586.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,385.20 / $10,620.88	Facility		$55.00	$8,385.20	$10,620.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,293.12 / $8,483.04 / $9,454.20	Professional		$8,293.12	$8,483.04	$9,454.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,212.43 / $1,541.93 / $2,145.00	Facility		$1,212.43	$1,541.93	$2,145.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.00 / $1,493.36 / $3,236.74	Professional		$1,130.00	$1,493.36	$3,236.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,730.73 / $3,730.73 / $3,730.73	Professional		$3,730.73	$3,730.73	$3,730.73
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 $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 $953.34 / $1,397.12 / $3,632.33	Professional		$953.34	$1,397.12	$3,632.33