Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.55 / $9,639.00 / $20,509.00	Facility		$1,445.55	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,321.40 / $1,445.55 / $7,045.21	Professional		$1,321.40	$1,445.55	$7,045.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,403.00 / $9,557.00 / $19,252.00	Facility		$3,403.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,426.14 / $2,484.13 / $4,678.43	Professional		$1,426.14	$2,484.13	$4,678.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,130.99 / $1,737.87 / $3,726.00	Professional		$1,130.99	$1,737.87	$3,726.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,398.49 / $1,744.92 / $4,215.89	Professional		$1,398.49	$1,744.92	$4,215.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $930.75 / $1,173.75 / $1,760.63	Professional		$930.75	$1,173.75	$1,760.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.27 / $1,603.97 / $2,944.99	Professional		$1,236.27	$1,603.97	$2,944.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,469.69 / $14,096.07	Facility		$55.00	$11,469.69	$14,096.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,583.52 / $9,826.95 / $11,747.63	Professional		$9,583.52	$9,826.95	$11,747.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,340.35 / $1,828.19 / $2,414.25	Facility		$1,340.35	$1,828.19	$2,414.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,398.49 / $1,744.92 / $3,952.25	Professional		$1,398.49	$1,744.92	$3,952.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,371.41 / $4,371.41 / $4,371.41	Professional		$4,371.41	$4,371.41	$4,371.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $930.75 / $1,303.05 / $1,760.63	Professional		$930.75	$1,303.05	$1,760.63
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 $1,171.90 / $1,672.45 / $4,486.02	Professional		$1,171.90	$1,672.45	$4,486.02