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 $825.54 / $908.51 / $3,476.91	Professional		$825.54	$908.51	$3,476.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,239.00 / $18,725.00	Facility		$3,518.00	$8,239.00	$18,725.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,095.69 / $1,436.10 / $2,761.15	Professional		$1,095.69	$1,436.10	$2,761.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $654.11 / $1,009.29 / $2,474.21	Professional		$654.11	$1,009.29	$2,474.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $854.74 / $1,150.98 / $3,280.18	Professional		$854.74	$1,150.98	$3,280.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,116.50 / $1,319.50	Professional		$1,015.00	$1,116.50	$1,319.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.50 / $1,168.39 / $2,079.64	Professional		$913.50	$1,168.39	$2,079.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,938.24 / $7,516.39	Facility		$55.00	$5,938.24	$7,516.39
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,601.20 / $6,805.60 / $7,733.25	Professional		$6,601.20	$6,805.60	$7,733.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $927.21 / $1,190.53 / $1,674.93	Facility		$927.21	$1,190.53	$1,674.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.74 / $1,171.57 / $2,586.15	Professional		$854.74	$1,171.57	$2,586.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,976.90 / $2,976.90 / $2,976.90	Professional		$2,976.90	$2,976.90	$2,976.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $709.38 / $993.13 / $1,205.95	Professional		$709.38	$993.13	$1,205.95
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 $735.03 / $1,012.44 / $3,253.00	Professional		$735.03	$1,012.44	$3,253.00