Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.11 / $9,639.00 / $20,509.00	Facility		$1,436.11	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.74 / $1,424.93 / $6,693.67	Professional		$1,288.74	$1,424.93	$6,693.67
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 $1,874.60 / $2,485.75 / $4,530.47	Professional		$1,874.60	$2,485.75	$4,530.47
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 $862.46 / $1,328.06 / $2,959.18	Professional		$862.46	$1,328.06	$2,959.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.25 / $1,631.94 / $4,005.69	Professional		$1,326.25	$1,631.94	$4,005.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,311.53 / $1,770.57	Professional		$1,191.35	$1,311.53	$1,770.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.38 / $1,527.74 / $2,807.35	Professional		$1,180.38	$1,527.74	$2,807.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,339.92 / $16,392.97	Facility		$55.00	$13,339.92	$16,392.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,420.00 / $11,420.00 / $11,420.00	Professional		$11,420.00	$11,420.00	$11,420.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.74 / $1,744.07 / $2,266.26	Facility		$1,288.74	$1,744.07	$2,266.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,294.55 / $1,631.94 / $3,751.67	Professional		$1,294.55	$1,631.94	$3,751.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,153.31 / $4,153.31 / $4,153.31	Professional		$4,153.31	$4,153.31	$4,153.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,253.60	Professional		$1,191.35	$1,502.40	$2,253.60
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 $1,117.36 / $1,602.79 / $3,432.44	Professional		$1,117.36	$1,602.79	$3,432.44