Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,232.43 / $9,639.00 / $20,509.00	Facility		$1,232.43	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,112.50 / $1,273.35 / $5,248.33	Professional		$1,112.50	$1,273.35	$5,248.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,000.00 / $20,418.00	Facility		$3,537.00	$10,000.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,587.88 / $2,081.19 / $4,001.46	Professional		$1,587.88	$2,081.19	$4,001.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $946.28 / $1,458.97 / $3,574.13	Professional		$946.28	$1,458.97	$3,574.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,316.65 / $1,693.54 / $4,950.47	Professional		$1,316.65	$1,693.54	$4,950.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.94 / $1,520.33 / $1,876.39	Professional		$1,266.94	$1,520.33	$1,876.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,264.17 / $1,630.31 / $2,910.42	Professional		$1,264.17	$1,630.31	$2,910.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,484.24 / $16,675.45	Facility		$55.00	$13,484.24	$16,675.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,279.52 / $9,508.08 / $11,313.08	Professional		$9,279.52	$9,508.08	$11,313.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,322.92 / $1,634.10 / $2,288.51	Facility		$1,322.92	$1,634.10	$2,288.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,316.65 / $1,696.20 / $3,688.02	Professional		$1,316.65	$1,696.20	$3,688.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,224.28 / $4,224.28 / $4,224.28	Professional		$4,224.28	$4,224.28	$4,224.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,266.94 / $1,597.71 / $2,396.56	Professional		$1,266.94	$1,597.71	$2,396.56
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 $1,079.68 / $1,521.74 / $4,365.06	Professional		$1,079.68	$1,521.74	$4,365.06