Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.68 / $9,639.00 / $20,509.00	Facility		$1,121.68	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $996.52 / $1,121.68 / $6,089.99	Professional		$996.52	$1,121.68	$6,089.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,250.00 / $20,786.00	Facility		$4,446.00	$10,250.00	$20,786.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,350.96 / $1,770.67 / $3,404.43	Professional		$1,350.96	$1,770.67	$3,404.43
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 $819.78 / $1,264.29 / $3,100.87	Professional		$819.78	$1,264.29	$3,100.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,092.95 / $1,462.10 / $4,023.99	Professional		$1,092.95	$1,462.10	$4,023.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $894.83 / $1,352.30 / $1,622.76	Professional		$894.83	$1,352.30	$1,622.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,210.82 / $1,555.15 / $2,752.51	Professional		$1,210.82	$1,555.15	$2,752.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,026.09 / $12,670.20	Facility		$55.00	$10,026.09	$12,670.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,922.94 / $10,167.29 / $10,250.39	Professional		$9,922.94	$10,167.29	$10,250.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,228.14 / $1,528.80 / $2,182.73	Facility		$1,228.14	$1,528.80	$2,182.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,103.42 / $1,542.80 / $3,279.42	Professional		$1,103.42	$1,542.80	$3,279.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,778.73 / $3,778.73 / $3,778.73	Professional		$3,778.73	$3,778.73	$3,778.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $894.83 / $1,252.77 / $1,521.21	Professional		$894.83	$1,252.77	$1,521.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,728.00 / $9,759.00 / $22,073.00	Facility		$4,728.00	$9,759.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $909.54 / $1,310.94 / $3,707.54	Professional		$909.54	$1,310.94	$3,707.54