Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.47 / $9,639.00 / $20,509.00	Facility		$1,234.47	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.93 / $1,234.47 / $6,149.45	Professional		$1,132.93	$1,234.47	$6,149.45
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 $1,649.95 / $2,187.85 / $4,061.78	Professional		$1,649.95	$2,187.85	$4,061.78
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 $708.82 / $1,089.10 / $2,532.01	Professional		$708.82	$1,089.10	$2,532.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,172.51 / $1,476.61 / $3,676.41	Professional		$1,172.51	$1,476.61	$3,676.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,197.29 / $1,616.34	Professional		$1,116.90	$1,197.29	$1,616.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,077.56 / $1,399.30 / $2,568.41	Professional		$1,077.56	$1,399.30	$2,568.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,009.35 / $12,303.36	Facility		$55.00	$10,009.35	$12,303.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,251.68	Professional		$10,151.00	$10,151.00	$10,251.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,167.46 / $1,502.65 / $2,198.76	Facility		$1,167.46	$1,502.65	$2,198.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,166.08 / $1,454.60 / $3,414.68	Professional		$1,166.08	$1,454.60	$3,414.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,815.62 / $3,815.62 / $3,815.62	Professional		$3,815.62	$3,815.62	$3,815.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,408.50 / $2,112.75	Professional		$1,116.90	$1,408.50	$2,112.75
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 $1,022.92 / $1,494.25 / $3,425.02	Professional		$1,022.92	$1,494.25	$3,425.02