Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.86 / $9,639.00 / $20,509.00	Facility		$1,168.86	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $969.23 / $1,100.39 / $4,418.92	Professional		$969.23	$1,100.39	$4,418.92
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 $1,556.40 / $2,012.98 / $3,861.65	Professional		$1,556.40	$2,012.98	$3,861.65
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 $810.89 / $1,257.07 / $3,067.26	Professional		$810.89	$1,257.07	$3,067.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,141.92 / $1,536.59 / $4,158.00	Professional		$1,141.92	$1,536.59	$4,158.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $895.38 / $1,354.98 / $1,626.26	Professional		$895.38	$1,354.98	$1,626.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.70 / $1,585.45 / $2,823.74	Professional		$1,219.70	$1,585.45	$2,823.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,948.40 / $14,497.10	Facility		$55.00	$11,948.40	$14,497.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,237.42 / $11,237.42 / $11,291.33	Professional		$11,237.42	$11,237.42	$11,291.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,268.35 / $1,573.73 / $2,384.23	Facility		$1,268.35	$1,573.73	$2,384.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,136.55 / $1,578.54 / $3,346.91	Professional		$1,136.55	$1,578.54	$3,346.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,596.45 / $3,596.45 / $3,596.45	Professional		$3,596.45	$3,596.45	$3,596.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $895.38 / $1,343.07 / $1,693.72	Professional		$895.38	$1,343.07	$1,693.72
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 $945.98 / $1,372.37 / $3,532.58	Professional		$945.98	$1,372.37	$3,532.58