Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,276.60 / $9,639.00 / $20,509.00	Facility		$1,276.60	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.70 / $1,276.60 / $6,526.74	Professional		$1,148.70	$1,276.60	$6,526.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,598.00 / $10,000.00 / $20,418.00	Facility		$3,598.00	$10,000.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,670.72 / $2,281.91 / $4,334.03	Professional		$1,670.72	$2,281.91	$4,334.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $980.62 / $1,508.86 / $3,298.51	Professional		$980.62	$1,508.86	$3,298.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,263.28 / $1,563.42 / $3,813.69	Professional		$1,263.28	$1,563.42	$3,813.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,344.91 / $1,349.22 / $1,815.63	Professional		$1,344.91	$1,349.22	$1,815.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,197.88 / $1,555.39 / $2,819.86	Professional		$1,197.88	$1,555.39	$2,819.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,838.08 / $23,296.16	Facility		$55.00	$18,838.08	$23,296.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,532.78 / $9,532.78 / $10,869.45	Professional		$9,532.78	$9,532.78	$10,869.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,275.68 / $1,693.36 / $2,416.88	Facility		$1,275.68	$1,693.36	$2,416.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.68 / $1,563.42 / $3,586.14	Professional		$1,275.68	$1,563.42	$3,586.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,049.72 / $4,049.72 / $4,049.72	Professional		$4,049.72	$4,049.72	$4,049.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,238.04 / $1,701.47 / $2,552.19	Professional		$1,238.04	$1,701.47	$2,552.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,142.00 / $18,709.00	Facility		$1,930.00	$6,142.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.10 / $1,512.90 / $3,325.74	Professional		$1,070.10	$1,512.90	$3,325.74