Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.53 / $9,639.00 / $20,509.00	Facility		$1,275.53	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,109.25 / $1,237.08 / $5,927.74	Professional		$1,109.25	$1,237.08	$5,927.74
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 $1,279.08 / $1,769.28 / $3,343.07	Professional		$1,279.08	$1,769.28	$3,343.07
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 $862.46 / $1,323.21 / $3,233.40	Professional		$862.46	$1,323.21	$3,233.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.59 / $1,471.12 / $4,394.96	Professional		$1,114.59	$1,471.12	$4,394.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.20 / $1,247.06 / $1,496.47	Professional		$954.20	$1,247.06	$1,496.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.34 / $1,435.18 / $2,600.44	Professional		$1,122.34	$1,435.18	$2,600.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,233.52 / $9,162.16	Facility		$55.00	$7,233.52	$9,162.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,473.45 / $8,473.45 / $9,320.33	Professional		$8,473.45	$8,473.45	$9,320.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,198.89 / $1,544.57 / $2,191.60	Facility		$1,198.89	$1,544.57	$2,191.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,140.58 / $1,480.85 / $3,191.36	Professional		$1,140.58	$1,480.85	$3,191.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,678.06 / $3,678.06 / $3,678.06	Professional		$3,678.06	$3,678.06	$3,678.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.20 / $1,384.38 / $1,804.99	Professional		$954.20	$1,384.38	$1,804.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.12 / $1,406.71 / $3,773.29	Professional		$925.12	$1,406.71	$3,773.29