Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.48 / $9,690.00 / $22,330.11	Facility		$1,184.48	$9,690.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.10 / $1,184.48 / $6,383.12	Professional		$1,103.10	$1,184.48	$6,383.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,051.26 / $22,688.99	Facility		$4,597.00	$11,051.26	$22,688.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,423.00 / $1,921.11 / $3,574.63	Professional		$1,423.00	$1,921.11	$3,574.63
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 $855.34 / $1,315.40 / $3,235.40	Professional		$855.34	$1,315.40	$3,235.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.16 / $1,566.29 / $4,379.97	Professional		$1,141.16	$1,566.29	$4,379.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,351.47 / $1,621.76	Professional		$927.77	$1,351.47	$1,621.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.32 / $1,560.31 / $2,829.48	Professional		$1,216.32	$1,560.31	$2,829.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,716.44 / $15,907.54	Facility		$55.00	$12,716.44	$15,907.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,554.94 / $9,554.94 / $10,630.73	Professional		$9,554.94	$9,554.94	$10,630.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,241.48 / $1,578.35 / $2,392.50	Facility		$1,241.48	$1,578.35	$2,392.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,141.16 / $1,571.08 / $3,481.95	Professional		$1,141.16	$1,571.08	$3,481.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,960.61 / $3,960.61 / $3,960.61	Professional		$3,960.61	$3,960.61	$3,960.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,391.66 / $1,754.99	Professional		$927.77	$1,391.66	$1,754.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $976.53 / $1,424.09 / $4,064.17	Professional		$976.53	$1,424.09	$4,064.17