Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,259.15 / $9,639.00 / $20,509.00	Facility		$1,259.15	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,066.08 / $1,206.41 / $5,798.86	Professional		$1,066.08	$1,206.41	$5,798.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.88 / $8,981.00 / $19,204.00	Facility		$4,043.88	$8,981.00	$19,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.46 / $1,652.14 / $3,191.39	Professional		$1,245.46	$1,652.14	$3,191.39
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 $789.66 / $1,216.93 / $2,986.93	Professional		$789.66	$1,216.93	$2,986.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,097.92 / $1,436.00 / $4,321.95	Professional		$1,097.92	$1,436.00	$4,321.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,220.48 / $1,464.84	Professional		$967.98	$1,220.48	$1,464.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.23 / $1,404.47 / $2,495.75	Professional		$1,098.23	$1,404.47	$2,495.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,087.92 / $10,240.64	Facility		$55.00	$8,087.92	$10,240.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,473.45 / $8,473.45 / $9,120.15	Professional		$8,473.45	$8,473.45	$9,120.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,170.39 / $1,496.01 / $2,309.00	Facility		$1,170.39	$1,496.01	$2,309.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,098.23 / $1,446.60 / $3,109.58	Professional		$1,098.23	$1,446.60	$3,109.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,598.08 / $3,598.08 / $3,598.08	Professional		$3,598.08	$3,598.08	$3,598.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.98 / $1,354.88 / $1,831.05	Professional		$967.98	$1,354.88	$1,831.05
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 $919.56 / $1,352.24 / $3,691.26	Professional		$919.56	$1,352.24	$3,691.26