Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,118.93 / $9,639.00 / $20,509.00	Facility		$1,118.93	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.70 / $1,118.93 / $5,703.40	Professional		$1,009.70	$1,118.93	$5,703.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,697.00 / $22,145.00	Facility		$3,738.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,469.04 / $1,944.25 / $3,748.51	Professional		$1,469.04	$1,944.25	$3,748.51
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 $783.39 / $1,200.01 / $2,673.86	Professional		$783.39	$1,200.01	$2,673.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,093.99 / $1,361.39 / $3,355.74	Professional		$1,093.99	$1,361.39	$3,355.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.83 / $1,166.81 / $1,575.19	Professional		$1,090.83	$1,166.81	$1,575.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,041.20 / $1,350.61 / $2,448.61	Professional		$1,041.20	$1,350.61	$2,448.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,338.88 / $20,218.72	Facility		$55.00	$16,338.88	$20,218.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,102.00 / $12,102.00 / $12,102.00	Professional		$12,102.00	$12,102.00	$12,102.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,099.38 / $1,466.92 / $2,257.77	Facility		$1,099.38	$1,466.92	$2,257.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,093.99 / $1,357.22 / $3,086.00	Professional		$1,093.99	$1,357.22	$3,086.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,538.83 / $3,538.83 / $3,538.83	Professional		$3,538.83	$3,538.83	$3,538.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,075.55 / $1,375.64 / $2,063.44	Professional		$1,075.55	$1,375.64	$2,063.44
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 $931.98 / $1,312.02 / $3,942.49	Professional		$931.98	$1,312.02	$3,942.49