Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,006.00 / $19,860.00	Facility		$2,616.00	$9,006.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,046.95 / $1,151.19 / $5,258.00	Professional		$1,046.95	$1,151.19	$5,258.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,360.00 / $23,933.00	Facility		$3,738.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,406.37 / $1,892.64 / $3,508.98	Professional		$1,406.37	$1,892.64	$3,508.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,981.41	Facility		$66.00	$100.00	$5,981.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $851.65 / $1,314.80 / $3,201.65	Professional		$851.65	$1,314.80	$3,201.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.23 / $1,448.65 / $4,171.18	Professional		$1,102.23	$1,448.65	$4,171.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $598.41 / $1,262.75 / $1,515.30	Professional		$598.41	$1,262.75	$1,515.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,136.48 / $1,455.64 / $2,602.96	Professional		$1,136.48	$1,455.64	$2,602.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,445.90 / $16,298.90	Facility		$55.00	$7,445.90	$16,298.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,273.92 / $8,525.84 / $9,690.37	Professional		$8,273.92	$8,525.84	$9,690.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,157.03 / $1,466.66 / $2,125.50	Facility		$1,157.03	$1,466.66	$2,125.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,102.23 / $1,480.60 / $3,258.00	Professional		$1,102.23	$1,480.60	$3,258.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,744.07 / $3,744.07 / $3,744.07	Professional		$3,744.07	$3,744.07	$3,744.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $598.41 / $1,018.80 / $1,400.85	Professional		$598.41	$1,018.80	$1,400.85
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $936.29 / $1,308.27 / $3,841.51	Professional		$936.29	$1,308.27	$3,841.51