Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,188.54 / $9,639.00 / $20,509.00	Facility		$1,188.54	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.15 / $1,188.54 / $6,066.94	Professional		$1,071.15	$1,188.54	$6,066.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,555.47 / $2,184.84 / $4,036.13	Professional		$1,555.47	$2,184.84	$4,036.13
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 $917.15 / $1,410.58 / $3,053.06	Professional		$917.15	$1,410.58	$3,053.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,193.08 / $1,456.77 / $3,601.76	Professional		$1,193.08	$1,456.77	$3,601.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.41 / $1,241.38 / $1,675.86	Professional		$1,236.41	$1,241.38	$1,675.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,108.00 / $1,437.13 / $2,605.44	Professional		$1,108.00	$1,437.13	$2,605.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,386.88 / $21,516.64	Facility		$55.00	$17,386.88	$21,516.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,761.00 / $11,761.00 / $11,761.00	Professional		$11,761.00	$11,761.00	$11,761.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,178.19 / $1,566.82 / $2,436.39	Facility		$1,178.19	$1,566.82	$2,436.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,186.33 / $1,452.57 / $3,343.69	Professional		$1,186.33	$1,452.57	$3,343.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,764.40 / $3,764.40 / $3,764.40	Professional		$3,764.40	$3,764.40	$3,764.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,144.50 / $1,559.21 / $2,338.81	Professional		$1,144.50	$1,559.21	$2,338.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $991.46 / $1,407.94 / $3,089.14	Professional		$991.46	$1,407.94	$3,089.14