Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.65 / $9,639.00 / $20,509.00	Facility		$1,222.65	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,049.28 / $1,195.90 / $5,653.45	Professional		$1,049.28	$1,195.90	$5,653.45
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 $1,255.25 / $1,723.28 / $3,268.79	Professional		$1,255.25	$1,723.28	$3,268.79
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 $841.95 / $1,298.31 / $3,163.24	Professional		$841.95	$1,298.31	$3,163.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.09 / $1,421.85 / $4,245.51	Professional		$1,076.09	$1,421.85	$4,245.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $929.26 / $1,191.58 / $1,429.90	Professional		$929.26	$1,191.58	$1,429.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,072.00 / $1,371.12 / $2,483.61	Professional		$1,072.00	$1,371.12	$2,483.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,907.53 / $8,742.23	Facility		$55.00	$6,907.53	$8,742.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,118.48 / $8,118.48 / $8,903.93	Professional		$8,118.48	$8,118.48	$8,903.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,142.59 / $1,492.61 / $2,155.94	Facility		$1,142.59	$1,492.61	$2,155.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,099.43 / $1,444.33 / $3,117.50	Professional		$1,099.43	$1,444.33	$3,117.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,507.86 / $3,507.86 / $3,507.86	Professional		$3,507.86	$3,507.86	$3,507.86
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $929.26 / $1,322.78 / $1,757.81	Professional		$929.26	$1,322.78	$1,757.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $869.12 / $1,319.99 / $3,162.13	Professional		$869.12	$1,319.99	$3,162.13