Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,690.00 / $21,960.90	Facility		$2,645.00	$9,690.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,106.92 / $1,244.77 / $6,549.75	Professional		$1,106.92	$1,244.77	$6,549.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,343.00 / $12,001.00 / $24,099.57	Facility		$5,343.00	$12,001.00	$24,099.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,505.42 / $1,973.11 / $3,793.66	Professional		$1,505.42	$1,973.11	$3,793.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,403.01	Facility		$64.20	$100.00	$5,403.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $921.05 / $1,422.03 / $3,462.44	Professional		$921.05	$1,422.03	$3,462.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,189.74 / $1,572.45 / $4,501.05	Professional		$1,189.74	$1,572.45	$4,501.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $967.80 / $1,357.65 / $1,629.18	Professional		$967.80	$1,357.65	$1,629.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.89 / $1,565.15 / $2,792.24	Professional		$1,221.89	$1,565.15	$2,792.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,007.79 / $10,119.41	Facility		$55.00	$8,007.79	$10,119.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,900.40 / $9,166.95 / $10,419.37	Professional		$8,900.40	$9,166.95	$10,419.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,244.77 / $1,582.90 / $2,358.46	Facility		$1,244.77	$1,582.90	$2,358.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.92 / $1,601.31 / $3,528.24	Professional		$1,195.92	$1,601.31	$3,528.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,063.99 / $4,063.99 / $4,063.99	Professional		$4,063.99	$4,063.99	$4,063.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $967.80 / $1,354.92 / $1,645.25	Professional		$967.80	$1,354.92	$1,645.25
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 $1,011.30 / $1,388.03 / $3,984.78	Professional		$1,011.30	$1,388.03	$3,984.78