Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $821.45 / $925.22 / $5,060.72	Professional		$821.45	$925.22	$5,060.72
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 $1,118.83 / $1,470.14 / $2,805.46	Professional		$1,118.83	$1,470.14	$2,805.46
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 $666.12 / $1,030.49 / $2,519.65	Professional		$666.12	$1,030.49	$2,519.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $901.26 / $1,215.02 / $3,358.48	Professional		$901.26	$1,215.02	$3,358.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $725.09 / $1,131.33 / $1,357.60	Professional		$725.09	$1,131.33	$1,357.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,008.37 / $1,301.03 / $2,295.94	Professional		$1,008.37	$1,301.03	$2,295.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,407.84 / $9,366.64	Facility		$55.00	$7,407.84	$9,366.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,025.21 / $1,287.23 / $1,949.80	Facility		$1,025.21	$1,287.23	$1,949.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $919.53 / $1,281.30 / $2,725.39	Professional		$919.53	$1,281.30	$2,725.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,140.08 / $3,140.08 / $3,140.08	Professional		$3,140.08	$3,140.08	$3,140.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $725.09 / $1,027.23 / $1,255.51	Professional		$725.09	$1,027.23	$1,255.51
United Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $13,722.00 / $29,571.00	Facility		$6,385.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.38 / $1,120.95 / $3,244.71	Professional		$762.38	$1,120.95	$3,244.71