Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,359.38 / $9,639.00 / $20,509.00	Facility		$1,359.38	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.33 / $1,359.38 / $7,232.01	Professional		$1,127.33	$1,359.38	$7,232.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,814.15 / $2,360.15 / $4,571.66	Professional		$1,814.15	$2,360.15	$4,571.66
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 $948.29 / $1,473.34 / $3,591.56	Professional		$948.29	$1,473.34	$3,591.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,342.82 / $1,793.49 / $4,925.08	Professional		$1,342.82	$1,793.49	$4,925.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,020.88 / $1,864.03	Professional		$674.61	$1,020.88	$1,864.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,398.30 / $1,822.35 / $3,242.29	Professional		$1,398.30	$1,822.35	$3,242.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,499.75 / $19,995.24	Facility		$55.00	$16,499.75	$19,995.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,108.37 / $10,240.71 / $12,996.00	Professional		$10,108.37	$10,240.71	$12,996.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,371.74 / $1,768.52 / $2,431.71	Facility		$1,371.74	$1,768.52	$2,431.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,342.82 / $1,862.35 / $3,964.55	Professional		$1,342.82	$1,862.35	$3,964.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,487.31 / $4,487.31 / $4,487.31	Professional		$4,487.31	$4,487.31	$4,487.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $674.61 / $1,191.03 / $1,718.94	Professional		$674.61	$1,191.03	$1,718.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,732.00 / $5,067.00 / $20,279.00	Facility		$1,732.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.53 / $1,657.96 / $4,606.52	Professional		$1,164.53	$1,657.96	$4,606.52