Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.93 / $9,639.00 / $20,509.00	Facility		$1,262.93	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.99 / $1,214.84 / $6,064.54	Professional		$1,075.99	$1,214.84	$6,064.54
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 $1,294.29 / $1,791.59 / $3,296.64	Professional		$1,294.29	$1,791.59	$3,296.64
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 $815.87 / $1,254.83 / $3,086.09	Professional		$815.87	$1,254.83	$3,086.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,120.34 / $1,494.84 / $4,462.52	Professional		$1,120.34	$1,494.84	$4,462.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $935.22 / $1,275.23 / $1,530.28	Professional		$935.22	$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 $1,214.84 / $1,555.67 / $2,242.04	Facility		$1,214.84	$1,555.67	$2,242.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,139.93 / $1,504.68 / $3,264.94	Professional		$1,139.93	$1,504.68	$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 $935.22 / $1,402.83 / $1,769.08	Professional		$935.22	$1,402.83	$1,769.08
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 / $1,485.63 / $4,392.17	Professional		$961.71	$1,485.63	$4,392.17