Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.64 / $9,639.00 / $20,509.00	Facility		$1,354.64	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.96 / $1,354.64 / $7,025.34	Professional		$1,227.96	$1,354.64	$7,025.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,774.90 / $2,371.80 / $4,574.20	Professional		$1,774.90	$2,371.80	$4,574.20
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 $911.02 / $1,391.85 / $3,101.32	Professional		$911.02	$1,391.85	$3,101.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,282.17 / $1,634.14 / $3,796.53	Professional		$1,282.17	$1,634.14	$3,796.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.73 / $1,394.42 / $1,838.06	Professional		$1,105.73	$1,394.42	$1,838.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.26 / $1,620.23 / $2,982.55	Professional		$1,271.26	$1,620.23	$2,982.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,068.96 / $24,813.44	Facility		$55.00	$20,068.96	$24,813.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,506.00 / $11,506.00 / $11,538.98	Professional		$11,506.00	$11,506.00	$11,538.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,339.53 / $1,767.36 / $2,369.67	Facility		$1,339.53	$1,767.36	$2,369.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,282.17 / $1,634.14 / $3,793.25	Professional		$1,282.17	$1,634.14	$3,793.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,359.08 / $4,359.08 / $4,359.08	Professional		$4,359.08	$4,359.08	$4,359.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,105.73 / $1,548.02 / $2,091.62	Professional		$1,105.73	$1,548.02	$2,091.62
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 $1,129.76 / $1,635.07 / $3,926.56	Professional		$1,129.76	$1,635.07	$3,926.56