Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.31 / $9,639.00 / $20,509.00	Facility		$1,311.31	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.33 / $1,311.31 / $6,732.16	Professional		$1,176.33	$1,311.31	$6,732.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,001.00 / $23,933.00	Facility		$3,738.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,694.70 / $2,308.39 / $4,364.81	Professional		$1,694.70	$2,308.39	$4,364.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $977.14 / $1,501.68 / $3,303.74	Professional		$977.14	$1,501.68	$3,303.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.13 / $1,586.07 / $3,793.10	Professional		$1,272.13	$1,586.07	$3,793.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,186.89 / $1,384.45 / $1,799.79	Professional		$1,186.89	$1,384.45	$1,799.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,233.86 / $1,601.80 / $2,904.00	Professional		$1,233.86	$1,601.80	$2,904.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,413.12 / $24,012.64	Facility		$55.00	$19,413.12	$24,012.64
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 $1,313.86 / $1,730.56 / $2,519.40	Facility		$1,313.86	$1,730.56	$2,519.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,310.09 / $1,586.07 / $3,648.40	Professional		$1,310.09	$1,586.07	$3,648.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,177.17 / $4,177.17 / $4,177.17	Professional		$4,177.17	$4,177.17	$4,177.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,186.89 / $1,533.94 / $2,245.15	Professional		$1,186.89	$1,533.94	$2,245.15
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 $1,104.04 / $1,555.93 / $3,538.93	Professional		$1,104.04	$1,555.93	$3,538.93