Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.74 / $9,639.00 / $20,509.00	Facility		$1,400.74	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,235.71 / $1,400.74 / $6,587.44	Professional		$1,235.71	$1,400.74	$6,587.44
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 $1,431.56 / $1,869.78 / $3,657.38	Professional		$1,431.56	$1,869.78	$3,657.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,717.48	Facility		$64.20	$100.00	$5,717.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $882.96 / $1,358.90 / $3,339.86	Professional		$882.96	$1,358.90	$3,339.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.24 / $1,630.58 / $4,965.47	Professional		$1,197.24	$1,630.58	$4,965.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $852.57 / $1,290.19 / $1,681.42	Professional		$852.57	$1,290.19	$1,681.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,255.60 / $1,611.36 / $2,912.24	Professional		$1,255.60	$1,611.36	$2,912.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,077.72 / $10,220.28	Facility		$55.00	$8,077.72	$10,220.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,421.40 / $21,953.02 / $21,953.02	Professional		$10,421.40	$21,953.02	$21,953.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,298.79 / $1,691.10 / $2,326.55	Facility		$1,298.79	$1,691.10	$2,326.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,233.64 / $1,632.98 / $3,555.09	Professional		$1,233.64	$1,632.98	$3,555.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,087.38 / $4,087.38 / $4,087.38	Professional		$4,087.38	$4,087.38	$4,087.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $852.57 / $1,278.84 / $1,612.73	Professional		$852.57	$1,278.84	$1,612.73
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 $1,011.65 / $1,517.46 / $4,198.55	Professional		$1,011.65	$1,517.46	$4,198.55