Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.78 / $9,639.00 / $20,509.00	Facility		$1,357.78	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.18 / $1,357.78 / $6,421.46	Professional		$1,236.18	$1,357.78	$6,421.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,793.87 / $2,397.87 / $4,335.35	Professional		$1,793.87	$2,397.87	$4,335.35
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 $890.90 / $1,370.05 / $3,052.75	Professional		$890.90	$1,370.05	$3,052.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,271.64 / $1,574.66 / $3,838.95	Professional		$1,271.64	$1,574.66	$3,838.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,249.14 / $1,623.88	Professional		$1,116.90	$1,249.14	$1,623.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,124.23 / $1,461.06 / $2,680.99	Professional		$1,124.23	$1,461.06	$2,680.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,777.71 / $15,693.59	Facility		$55.00	$12,777.71	$15,693.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,708.50	Professional		$10,151.00	$10,151.00	$10,708.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,236.18 / $1,669.52 / $2,281.27	Facility		$1,236.18	$1,669.52	$2,281.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,261.32 / $1,560.80 / $3,603.66	Professional		$1,261.32	$1,560.80	$3,603.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,984.39 / $3,984.39 / $3,984.39	Professional		$3,984.39	$3,984.39	$3,984.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,382.62 / $1,898.73	Professional		$1,116.90	$1,382.62	$1,898.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.30 / $1,529.57 / $3,576.27	Professional		$1,073.30	$1,529.57	$3,576.27