Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.35 / $9,639.00 / $20,509.00	Facility		$1,293.35	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,098.32 / $1,241.51 / $6,064.54	Professional		$1,098.32	$1,241.51	$6,064.54
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 $1,329.75 / $1,783.35 / $3,402.92	Professional		$1,329.75	$1,783.35	$3,402.92
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 $814.10 / $1,251.48 / $3,078.82	Professional		$814.10	$1,251.48	$3,078.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,123.11 / $1,504.68 / $4,561.80	Professional		$1,123.11	$1,504.68	$4,561.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,275.23 / $1,530.28	Professional		$927.77	$1,275.23	$1,530.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,147.71 / $1,467.80 / $2,609.19	Professional		$1,147.71	$1,467.80	$2,609.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,461.44 / $10,711.76	Facility		$55.00	$8,461.44	$10,711.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,367.68 / $8,556.08 / $9,540.60	Professional		$8,367.68	$8,556.08	$9,540.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,223.17 / $1,564.30 / $2,242.04	Facility		$1,223.17	$1,564.30	$2,242.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,139.93 / $1,514.56 / $3,264.94	Professional		$1,139.93	$1,514.56	$3,264.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,762.92 / $3,762.92 / $3,762.92	Professional		$3,762.92	$3,762.92	$3,762.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,391.66 / $1,754.99	Professional		$927.77	$1,391.66	$1,754.99
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 $961.71 / $1,471.22 / $4,283.55	Professional		$961.71	$1,471.22	$4,283.55