Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.43 / $9,639.00 / $20,509.00	Facility		$1,201.43	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.60 / $1,201.43 / $6,037.30	Professional		$1,076.60	$1,201.43	$6,037.30
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 $1,550.23 / $2,167.82 / $4,008.94	Professional		$1,550.23	$2,167.82	$4,008.94
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 $903.55 / $1,390.75 / $3,045.19	Professional		$903.55	$1,390.75	$3,045.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,165.92 / $1,449.69 / $3,519.78	Professional		$1,165.92	$1,449.69	$3,519.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,242.06 / $1,340.28 / $1,690.20	Professional		$1,242.06	$1,340.28	$1,690.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,106.56 / $1,436.68 / $2,604.63	Professional		$1,106.56	$1,436.68	$2,604.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,402.88 / $21,532.64	Facility		$55.00	$17,402.88	$21,532.64
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 $1,178.33 / $1,570.68 / $2,355.00	Facility		$1,178.33	$1,570.68	$2,355.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,178.33 / $1,447.44 / $3,302.44	Professional		$1,178.33	$1,447.44	$3,302.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,746.05 / $3,746.05 / $3,746.05	Professional		$3,746.05	$3,746.05	$3,746.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,143.58 / $1,690.20 / $2,535.30	Professional		$1,143.58	$1,690.20	$2,535.30
United Facility/Professional Facility Modifier Low / Median / High Price $8,867.00 / $20,553.00 / $50,904.00	Facility		$8,867.00	$20,553.00	$50,904.00
United Facility/Professional Professional Modifier Low / Median / High Price $990.07 / $1,395.36 / $3,076.28	Professional		$990.07	$1,395.36	$3,076.28