Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,909.00 / $10,977.00 / $23,282.00	Facility		$3,909.00	$10,977.00	$23,282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.03 / $1,408.28 / $6,934.90	Professional		$1,201.03	$1,408.28	$6,934.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $12,563.00 / $25,636.00	Facility		$5,486.00	$12,563.00	$25,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,107.12 / $2,639.01 / $4,866.72	Professional		$2,107.12	$2,639.01	$4,866.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,694.68	Facility		$63.50	$100.00	$1,694.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $945.16 / $1,408.79 / $3,179.35	Professional		$945.16	$1,408.79	$3,179.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.30 / $1,637.21 / $4,141.71	Professional		$1,281.30	$1,637.21	$4,141.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.16 / $1,357.53 / $1,674.24	Professional		$1,116.16	$1,357.53	$1,674.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.11 / $1,572.50 / $3,278.05	Professional		$1,216.11	$1,572.50	$3,278.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,800.96 / $23,784.64	Facility		$55.00	$18,800.96	$23,784.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,155.68 / $9,436.32 / $10,658.48	Professional		$9,155.68	$9,436.32	$10,658.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,254.56 / $1,580.96 / $2,177.23	Facility		$1,254.56	$1,580.96	$2,177.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.30 / $1,627.15 / $3,819.78	Professional		$1,281.30	$1,627.15	$3,819.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,302.97 / $4,302.97 / $4,302.97	Professional		$4,302.97	$4,302.97	$4,302.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.16 / $1,451.00 / $1,897.46	Professional		$1,116.16	$1,451.00	$1,897.46
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 $1,111.20 / $1,616.22 / $3,525.55	Professional		$1,111.20	$1,616.22	$3,525.55