Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $8,934.00 / $19,860.00	Facility		$2,616.00	$8,934.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,083.04 / $1,217.34 / $6,388.59	Professional		$1,083.04	$1,217.34	$6,388.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,770.00 / $22,895.00	Facility		$3,585.00	$11,770.00	$22,895.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.09 / $1,950.44 / $3,712.19	Professional		$1,473.09	$1,950.44	$3,712.19
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 $901.33 / $1,390.90 / $3,387.58	Professional		$901.33	$1,390.90	$3,387.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,160.04 / $1,533.75 / $4,402.67	Professional		$1,160.04	$1,533.75	$4,402.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $639.96 / $1,333.17 / $1,599.80	Professional		$639.96	$1,333.17	$1,599.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.84 / $1,537.16 / $2,743.00	Professional		$1,199.84	$1,537.16	$2,743.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,870.38 / $10,899.50	Facility		$55.00	$7,870.38	$10,899.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,747.12 / $9,012.79 / $10,239.98	Professional		$8,747.12	$9,012.79	$10,239.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.98 / $1,549.10 / $2,133.07	Facility		$1,230.98	$1,549.10	$2,133.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,173.09 / $1,567.29 / $3,450.79	Professional		$1,173.09	$1,567.29	$3,450.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,964.01 / $3,964.01 / $3,964.01	Professional		$3,964.01	$3,964.01	$3,964.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $639.96 / $1,087.94 / $1,478.96	Professional		$639.96	$1,087.94	$1,478.96
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 $992.33 / $1,482.38 / $4,082.81	Professional		$992.33	$1,482.38	$4,082.81