Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.81 / $9,639.00 / $20,509.00	Facility		$1,110.81	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $959.40 / $1,078.86 / $5,379.00	Professional		$959.40	$1,078.86	$5,379.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.02 / $8,886.00 / $18,332.29	Facility		$3,958.02	$8,886.00	$18,332.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.72 / $1,498.81 / $2,896.39	Professional		$1,113.72	$1,498.81	$2,896.39
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 $729.93 / $1,127.02 / $2,761.02	Professional		$729.93	$1,127.02	$2,761.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $980.79 / $1,334.42 / $3,768.58	Professional		$980.79	$1,334.42	$3,768.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,020.88 / $1,343.59	Professional		$674.61	$1,020.88	$1,343.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,007.69 / $1,290.55 / $2,301.66	Professional		$1,007.69	$1,290.55	$2,301.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,597.01 / $8,323.91	Facility		$55.00	$6,597.01	$8,323.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,333.36 / $7,540.80 / $8,583.98	Professional		$7,333.36	$7,540.80	$8,583.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,075.46 / $1,352.40 / $1,791.46	Facility		$1,075.46	$1,352.40	$1,791.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,008.08 / $1,339.60 / $2,901.81	Professional		$1,008.08	$1,339.60	$2,901.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,337.57 / $3,337.57 / $3,337.57	Professional		$3,337.57	$3,337.57	$3,337.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,020.44 / $1,276.09	Professional		$674.61	$1,020.44	$1,276.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $851.44 / $1,299.97 / $3,697.79	Professional		$851.44	$1,299.97	$3,697.79