Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.33 / $9,639.00 / $20,509.00	Facility		$1,255.33	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.52 / $1,255.33 / $6,309.71	Professional		$1,076.52	$1,255.33	$6,309.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $8,530.00 / $17,774.00	Facility		$3,738.00	$8,530.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,274.09 / $1,714.65 / $3,417.94	Professional		$1,274.09	$1,714.65	$3,417.94
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 $787.86 / $1,210.30 / $2,980.13	Professional		$787.86	$1,210.30	$2,980.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.26 / $1,537.88 / $4,246.24	Professional		$1,131.26	$1,537.88	$4,246.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $892.78 / $1,323.79 / $1,588.55	Professional		$892.78	$1,323.79	$1,588.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,191.41 / $1,530.85 / $2,746.00	Professional		$1,191.41	$1,530.85	$2,746.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,157.84 / $11,317.44	Facility		$55.00	$9,157.84	$11,317.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,662.16 / $8,856.87 / $10,590.38	Professional		$8,662.16	$8,856.87	$10,590.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,248.14 / $1,568.70 / $2,133.73	Facility		$1,248.14	$1,568.70	$2,133.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,131.23 / $1,550.37 / $3,432.66	Professional		$1,131.23	$1,550.37	$3,432.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,915.05 / $3,915.05 / $3,915.05	Professional		$3,915.05	$3,915.05	$3,915.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $892.78 / $1,339.16 / $1,688.79	Professional		$892.78	$1,339.16	$1,688.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,108.00 / $18,709.00	Facility		$1,919.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $998.20 / $1,517.85 / $4,241.71	Professional		$998.20	$1,517.85	$4,241.71