Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.17 / $9,639.00 / $20,509.00	Facility		$950.17	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.77 / $992.06 / $4,420.00	Professional		$822.77	$992.06	$4,420.00
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 $1,277.00 / $1,712.73 / $3,283.63	Professional		$1,277.00	$1,712.73	$3,283.63
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 $637.73 / $983.27 / $2,433.91	Professional		$637.73	$983.27	$2,433.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $911.77 / $1,422.63 / $3,917.69	Professional		$911.77	$1,422.63	$3,917.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,326.81 / $1,592.17	Professional		$893.52	$1,326.81	$1,592.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,194.13 / $1,530.98 / $2,775.60	Professional		$1,194.13	$1,530.98	$2,775.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,765.32 / $16,741.91	Facility		$55.00	$13,765.32	$16,741.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,833.41 / $8,973.83 / $10,833.23	Professional		$8,833.41	$8,973.83	$10,833.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,087.57 / $1,469.74 / $2,122.90	Facility		$1,087.57	$1,469.74	$2,122.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $911.77 / $1,443.46 / $3,204.05	Professional		$911.77	$1,443.46	$3,204.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,720.91 / $3,720.91 / $3,720.91	Professional		$3,720.91	$3,720.91	$3,720.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,340.28 / $1,690.20	Professional		$893.52	$1,340.28	$1,690.20
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 $865.25 / $1,335.75 / $3,898.59	Professional		$865.25	$1,335.75	$3,898.59