Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.59 / $9,639.00 / $20,509.00	Facility		$951.59	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $829.59 / $951.59 / $5,047.03	Professional		$829.59	$951.59	$5,047.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,521.00 / $27,257.00	Facility		$4,597.00	$11,521.00	$27,257.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.03 / $1,569.33 / $3,157.65	Professional		$1,253.03	$1,569.33	$3,157.65
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 $606.55 / $943.03 / $2,298.82	Professional		$606.55	$943.03	$2,298.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.20 / $1,239.60 / $3,391.26	Professional		$927.20	$1,239.60	$3,391.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $698.06 / $1,056.36 / $1,336.56	Professional		$698.06	$1,056.36	$1,336.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,002.42 / $1,285.88 / $2,331.23	Professional		$1,002.42	$1,285.88	$2,331.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,564.04 / $14,068.80	Facility		$55.00	$11,564.04	$14,068.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,186.74 / $9,186.74 / $9,186.74	Professional		$9,186.74	$9,186.74	$9,186.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,008.73 / $1,261.92 / $1,910.72	Facility		$1,008.73	$1,261.92	$1,910.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.29 / $1,281.88 / $2,783.52	Professional		$916.29	$1,281.88	$2,783.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,131.57 / $3,131.57 / $3,131.57	Professional		$3,131.57	$3,131.57	$3,131.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $698.06 / $1,047.08 / $1,320.47	Professional		$698.06	$1,047.08	$1,320.47
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 $807.34 / $1,150.84 / $3,427.48	Professional		$807.34	$1,150.84	$3,427.48