Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.05 / $1,168.26 / $5,481.44	Professional		$1,012.05	$1,168.26	$5,481.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,163.93 / $20,418.00	Facility		$4,314.00	$10,163.93	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.34 / $1,585.90 / $3,053.43	Professional		$1,195.34	$1,585.90	$3,053.43
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 $741.99 / $1,142.94 / $2,806.62	Professional		$741.99	$1,142.94	$2,806.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,011.82 / $1,361.84 / $4,147.10	Professional		$1,011.82	$1,361.84	$4,147.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,153.40 / $1,384.08	Professional		$843.26	$1,153.40	$1,384.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.44 / $1,326.79 / $2,356.40	Professional		$1,036.44	$1,326.79	$2,356.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,675.06 / $8,449.62	Facility		$55.00	$6,675.06	$8,449.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,605.43 / $9,256.39 / $9,561.85	Professional		$8,605.43	$9,256.39	$9,561.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,105.05 / $1,413.00 / $1,938.00	Facility		$1,105.05	$1,413.00	$1,938.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,032.43 / $1,362.65 / $2,952.94	Professional		$1,032.43	$1,362.65	$2,952.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,401.13 / $3,401.13 / $3,401.13	Professional		$3,401.13	$3,401.13	$3,401.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,264.89 / $1,595.13	Professional		$843.26	$1,264.89	$1,595.13
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 $869.62 / $1,276.83 / $3,903.66	Professional		$869.62	$1,276.83	$3,903.66