Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.26 / $10,615.43 / $23,269.50	Facility		$1,155.26	$10,615.43	$23,269.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,027.56 / $1,353.33 / $5,170.00	Professional		$1,027.56	$1,353.33	$5,170.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $11,380.47 / $22,032.00	Facility		$4,667.00	$11,380.47	$22,032.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.27 / $1,832.67 / $3,523.64	Professional		$1,398.27	$1,832.67	$3,523.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $11,407.14	Facility		$64.20	$100.00	$11,407.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $847.92 / $1,308.30 / $3,190.48	Professional		$847.92	$1,308.30	$3,190.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,100.95 / $1,453.88 / $4,191.35	Professional		$1,100.95	$1,453.88	$4,191.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $603.99 / $1,266.74 / $1,520.09	Professional		$603.99	$1,266.74	$1,520.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,140.07 / $1,460.24 / $2,611.21	Professional		$1,140.07	$1,460.24	$2,611.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,469.63 / $9,442.58	Facility		$55.00	$7,469.63	$9,442.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,300.40 / $8,553.12 / $9,720.90	Professional		$8,300.40	$8,553.12	$9,720.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,160.70 / $1,473.47 / $2,026.78	Facility		$1,160.70	$1,473.47	$2,026.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,100.95 / $1,484.59 / $3,269.68	Professional		$1,100.95	$1,484.59	$3,269.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,757.59 / $3,757.59 / $3,757.59	Professional		$3,757.59	$3,757.59	$3,757.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $603.99 / $1,026.78 / $1,405.27	Professional		$603.99	$1,026.78	$1,405.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.81 / $1,343.20 / $3,870.74	Professional		$938.81	$1,343.20	$3,870.74