Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.95 / $9,639.00 / $20,509.00	Facility		$1,235.95	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,063.11 / $1,210.88 / $5,795.08	Professional		$1,063.11	$1,210.88	$5,795.08
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 $1,254.35 / $1,674.80 / $3,160.99	Professional		$1,254.35	$1,674.80	$3,160.99
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 $789.08 / $1,213.80 / $2,984.48	Professional		$789.08	$1,213.80	$2,984.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.29 / $1,426.40 / $4,218.02	Professional		$1,075.29	$1,426.40	$4,218.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $897.62 / $1,219.67 / $1,463.60	Professional		$897.62	$1,219.67	$1,463.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,097.55 / $1,403.56 / $2,494.14	Professional		$1,097.55	$1,403.56	$2,494.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,072.73 / $8,952.86	Facility		$55.00	$7,072.73	$8,952.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,994.16 / $8,172.88 / $9,114.75	Professional		$7,994.16	$8,172.88	$9,114.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,169.63 / $1,502.95 / $2,198.00	Facility		$1,169.63	$1,502.95	$2,198.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,097.23 / $1,438.49 / $3,118.77	Professional		$1,097.23	$1,438.49	$3,118.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,595.73 / $3,595.73 / $3,595.73	Professional		$3,595.73	$3,595.73	$3,595.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $897.62 / $1,346.42 / $1,697.95	Professional		$897.62	$1,346.42	$1,697.95
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 $918.98 / $1,366.56 / $3,690.37	Professional		$918.98	$1,366.56	$3,690.37