Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.01 / $9,639.00 / $20,509.00	Facility		$1,133.01	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,026.66 / $1,133.01 / $5,878.84	Professional		$1,026.66	$1,133.01	$5,878.84
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 $1,491.97 / $2,131.92 / $3,900.06	Professional		$1,491.97	$2,131.92	$3,900.06
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 $905.75 / $1,395.87 / $3,005.17	Professional		$905.75	$1,395.87	$3,005.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.21 / $1,403.63 / $3,316.23	Professional		$1,150.21	$1,403.63	$3,316.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,048.02 / $1,191.92 / $1,572.03	Professional		$1,048.02	$1,191.92	$1,572.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,068.54 / $1,383.88 / $2,898.51	Professional		$1,068.54	$1,383.88	$2,898.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,446.64 / $33,944.56	Facility		$55.00	$27,446.64	$33,944.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $11,932.00 / $11,932.00	Professional		$11,932.00	$11,932.00	$11,932.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,136.67 / $1,554.35 / $2,374.89	Facility		$1,136.67	$1,554.35	$2,374.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,151.57 / $1,397.90 / $3,197.18	Professional		$1,151.57	$1,397.90	$3,197.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,647.72 / $3,647.72 / $3,647.72	Professional		$3,647.72	$3,647.72	$3,647.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,048.02 / $1,321.64 / $1,982.46	Professional		$1,048.02	$1,321.64	$1,982.46
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 $962.30 / $1,360.05 / $2,992.73	Professional		$962.30	$1,360.05	$2,992.73