Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,191.63 / $9,639.00 / $20,509.00	Facility		$1,191.63	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.43 / $1,191.63 / $6,379.23	Professional		$1,048.43	$1,191.63	$6,379.23
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 $1,588.46 / $2,027.16 / $3,999.85	Professional		$1,588.46	$2,027.16	$3,999.85
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 $792.20 / $1,228.90 / $2,996.57	Professional		$792.20	$1,228.90	$2,996.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,173.77 / $1,569.48 / $4,267.47	Professional		$1,173.77	$1,569.48	$4,267.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,352.16 / $1,653.18	Professional		$893.52	$1,352.16	$1,653.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,239.89 / $1,613.09 / $2,872.01	Professional		$1,239.89	$1,613.09	$2,872.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,161.30 / $14,752.30	Facility		$55.00	$12,161.30	$14,752.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,895.07 / $10,053.11 / $11,494.13	Professional		$9,895.07	$10,053.11	$11,494.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,267.57 / $1,577.00 / $2,227.50	Facility		$1,267.57	$1,577.00	$2,227.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,154.83 / $1,601.24 / $3,503.16	Professional		$1,154.83	$1,601.24	$3,503.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,958.19 / $3,958.19 / $3,958.19	Professional		$3,958.19	$3,958.19	$3,958.19
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 $1,022.77 / $1,444.98 / $4,099.34	Professional		$1,022.77	$1,444.98	$4,099.34