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 $1,169.84 / $1,314.60 / $6,884.75	Professional		$1,169.84	$1,314.60	$6,884.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,608.40 / $2,164.54 / $4,013.05	Professional		$1,608.40	$2,164.54	$4,013.05
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 $983.27 / $1,516.28 / $3,694.96	Professional		$983.27	$1,516.28	$3,694.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,264.26 / $1,652.86 / $4,773.04	Professional		$1,264.26	$1,652.86	$4,773.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $698.23 / $1,432.68 / $1,719.22	Professional		$698.23	$1,432.68	$1,719.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.41 / $1,652.34 / $2,949.69	Professional		$1,289.41	$1,652.34	$2,949.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,469.23 / $16,298.90	Facility		$55.00	$8,469.23	$16,298.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,415.04 / $9,704.08 / $11,015.55	Professional		$9,415.04	$9,704.08	$11,015.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,337.05 / $1,678.83 / $2,298.83	Facility		$1,337.05	$1,678.83	$2,298.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.29 / $1,690.56 / $3,720.51	Professional		$1,272.29	$1,690.56	$3,720.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,271.87 / $4,271.87 / $4,271.87	Professional		$4,271.87	$4,271.87	$4,271.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $698.23 / $1,187.00 / $1,589.34	Professional		$698.23	$1,187.00	$1,589.34
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 $1,049.75 / $1,490.18 / $4,180.54	Professional		$1,049.75	$1,490.18	$4,180.54