Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.07 / $9,639.00 / $20,509.00	Facility		$1,029.07	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.82 / $1,029.07 / $5,554.84	Professional		$910.82	$1,029.07	$5,554.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,250.00 / $20,786.00	Facility		$4,446.00	$10,250.00	$20,786.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,223.31 / $1,603.36 / $3,082.73	Professional		$1,223.31	$1,603.36	$3,082.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $8,138.75	Facility		$64.20	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $695.11 / $1,068.67 / $2,629.29	Professional		$695.11	$1,068.67	$2,629.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $983.08 / $1,333.52 / $3,686.58	Professional		$983.08	$1,333.52	$3,686.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,013.40 / $1,233.29 / $1,520.10	Professional		$1,013.40	$1,233.29	$1,520.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.72 / $1,414.48 / $2,489.48	Professional		$1,088.72	$1,414.48	$2,489.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,963.39 / $8,866.20	Facility		$55.00	$6,963.39	$8,866.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,829.92 / $8,054.08 / $9,035.85	Professional		$7,829.92	$8,054.08	$9,035.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,102.89 / $1,393.95 / $1,904.86	Facility		$1,102.89	$1,393.95	$1,904.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $991.67 / $1,381.71 / $2,968.77	Professional		$991.67	$1,381.71	$2,968.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,446.66 / $3,446.66 / $3,446.66	Professional		$3,446.66	$3,446.66	$3,446.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,013.40 / $1,369.29 / $1,722.78	Professional		$1,013.40	$1,369.29	$1,722.78
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 $837.00 / $1,242.21 / $3,711.66	Professional		$837.00	$1,242.21	$3,711.66