Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.47 / $9,639.00 / $20,509.00	Facility		$1,153.47	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.44 / $1,127.93 / $5,565.85	Professional		$977.44	$1,127.93	$5,565.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.88 / $9,241.00 / $19,204.00	Facility		$4,043.88	$9,241.00	$19,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.20 / $1,527.72 / $3,003.18	Professional		$1,135.20	$1,527.72	$3,003.18
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 $734.77 / $1,141.08 / $2,779.32	Professional		$734.77	$1,141.08	$2,779.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.26 / $1,385.26 / $3,903.24	Professional		$1,025.26	$1,385.26	$3,903.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $785.18 / $1,188.22 / $1,443.24	Professional		$785.18	$1,188.22	$1,443.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.40 / $1,383.11 / $2,450.25	Professional		$1,078.40	$1,383.11	$2,450.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,949.39 / $8,819.44	Facility		$55.00	$6,949.39	$8,819.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,730.16 / $7,980.88 / $9,059.48	Professional		$7,730.16	$7,980.88	$9,059.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,113.69 / $1,439.66 / $2,013.00	Facility		$1,113.69	$1,439.66	$2,013.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,025.26 / $1,416.65 / $3,068.52	Professional		$1,025.26	$1,416.65	$3,068.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,453.52 / $3,453.52 / $3,453.52	Professional		$3,453.52	$3,453.52	$3,453.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $785.18 / $1,177.77 / $1,485.26	Professional		$785.18	$1,177.77	$1,485.26
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 $887.22 / $1,318.31 / $3,565.82	Professional		$887.22	$1,318.31	$3,565.82