Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $6,803.68 / $17,902.00	Facility		$2,197.85	$6,803.68	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,038.42 / $1,206.43 / $6,137.50	Professional		$1,038.42	$1,206.43	$6,137.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,776.00 / $8,484.00 / $16,676.00	Facility		$2,776.00	$8,484.00	$16,676.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,414.26 / $1,853.64 / $3,563.94	Professional		$1,414.26	$1,853.64	$3,563.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,804.58	Facility		$66.00	$100.00	$5,804.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $833.03 / $1,288.29 / $3,150.99	Professional		$833.03	$1,288.29	$3,150.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,095.13 / $1,473.48 / $4,217.33	Professional		$1,095.13	$1,473.48	$4,217.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $887.74 / $1,303.11 / $1,563.74	Professional		$887.74	$1,303.11	$1,563.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.81 / $1,499.59 / $2,710.80	Professional		$1,172.81	$1,499.59	$2,710.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,348.35 / $10,899.50	Facility		$55.00	$4,348.35	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,909.98 / $9,930.27 / $10,257.95	Professional		$9,909.98	$9,930.27	$10,257.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,136.60 / $1,468.34 / $2,270.91	Facility		$1,136.60	$1,468.34	$2,270.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,098.52 / $1,531.04 / $3,306.69	Professional		$1,098.52	$1,531.04	$3,306.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,808.21 / $3,808.21 / $3,808.21	Professional		$3,808.21	$3,808.21	$3,808.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $887.74 / $1,242.83 / $1,509.16	Professional		$887.74	$1,242.83	$1,509.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $935.86 / $1,358.39 / $3,733.74	Professional		$935.86	$1,358.39	$3,733.74