Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.19 / $9,674.00 / $22,788.00	Facility		$1,168.19	$9,674.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $971.37 / $1,168.19 / $6,377.39	Professional		$971.37	$1,168.19	$6,377.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,596.00 / $19,398.00	Facility		$3,242.00	$9,596.00	$19,398.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,550.53 / $2,090.26 / $3,907.34	Professional		$1,550.53	$2,090.26	$3,907.34
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $5,770.07	Facility		$66.00	$100.00	$5,770.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $822.50 / $1,278.67 / $3,111.17	Professional		$822.50	$1,278.67	$3,111.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.61 / $1,581.03 / $4,136.05	Professional		$1,164.61	$1,581.03	$4,136.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.69 / $1,414.74 / $1,789.70	Professional		$1,376.69	$1,414.74	$1,789.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.02 / $1,592.78 / $2,872.36	Professional		$1,239.02	$1,592.78	$2,872.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,582.16 / $17,689.56	Facility		$55.00	$14,582.16	$17,689.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,288.09 / $13,288.09 / $13,288.09	Professional		$13,288.09	$13,288.09	$13,288.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,289.50 / $1,592.78 / $2,423.28	Facility		$1,289.50	$1,592.78	$2,423.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,146.33 / $1,636.56 / $3,502.17	Professional		$1,146.33	$1,636.56	$3,502.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,957.03 / $3,957.03 / $3,957.03	Professional		$3,957.03	$3,957.03	$3,957.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,246.52 / $1,523.52 / $2,405.06	Professional		$1,246.52	$1,523.52	$2,405.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,284.00 / $12,313.00 / $26,451.00	Facility		$5,284.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,026.20 / $1,502.64 / $4,476.21	Professional		$1,026.20	$1,502.64	$4,476.21