Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,195.05 / $9,639.00 / $20,509.00	Facility		$1,195.05	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,012.60 / $1,138.90 / $5,762.91	Professional		$1,012.60	$1,138.90	$5,762.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.02 / $8,886.00 / $18,332.29	Facility		$3,958.02	$8,886.00	$18,332.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,249.63 / $1,635.90 / $3,189.34	Professional		$1,249.63	$1,635.90	$3,189.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.53	Facility		$63.90	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $716.02 / $1,102.29 / $2,708.41	Professional		$716.02	$1,102.29	$2,708.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.72 / $1,424.10 / $4,338.56	Professional		$1,045.72	$1,424.10	$4,338.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,219.59 / $1,463.52	Professional		$843.26	$1,219.59	$1,463.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.56 / $1,402.54 / $2,521.19	Professional		$1,094.56	$1,402.54	$2,521.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,045.85 / $8,920.45	Facility		$55.00	$7,045.85	$8,920.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,962.24 / $8,139.92 / $9,085.58	Professional		$7,962.24	$8,139.92	$9,085.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,126.85 / $1,471.13 / $2,026.79	Facility		$1,126.85	$1,471.13	$2,026.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,076.96 / $1,426.76 / $3,106.58	Professional		$1,076.96	$1,426.76	$3,106.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,575.77 / $3,575.77 / $3,575.77	Professional		$3,575.77	$3,575.77	$3,575.77
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 $912.92 / $1,359.66 / $3,961.71	Professional		$912.92	$1,359.66	$3,961.71