Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.98 / $9,639.00 / $20,509.00	Facility		$1,290.98	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,162.57 / $1,290.98 / $6,625.24	Professional		$1,162.57	$1,290.98	$6,625.24
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 $1,686.60 / $2,353.34 / $4,399.10	Professional		$1,686.60	$2,353.34	$4,399.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $906.30 / $1,384.92 / $3,085.88	Professional		$906.30	$1,384.92	$3,085.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.70 / $1,567.52 / $3,904.11	Professional		$1,252.70	$1,567.52	$3,904.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,363.59 / $1,840.85	Professional		$1,265.08	$1,363.59	$1,840.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,214.69 / $1,577.10 / $2,859.22	Professional		$1,214.69	$1,577.10	$2,859.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,099.52 / $23,639.20	Facility		$55.00	$19,099.52	$23,639.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,784.00 / $12,784.00 / $12,784.00	Professional		$12,784.00	$12,784.00	$12,784.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,283.81 / $1,699.84 / $2,471.98	Facility		$1,283.81	$1,699.84	$2,471.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.79 / $1,545.34 / $3,592.33	Professional		$1,272.79	$1,545.34	$3,592.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,110.84 / $4,110.84 / $4,110.84	Professional		$4,110.84	$4,110.84	$4,110.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.36 / $1,595.36 / $2,393.04	Professional		$1,255.36	$1,595.36	$2,393.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.54 / $1,505.30 / $4,575.17	Professional		$1,081.54	$1,505.30	$4,575.17