Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,190.85 / $9,639.00 / $20,509.00	Facility		$1,190.85	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.53 / $1,190.85 / $5,758.37	Professional		$1,087.53	$1,190.85	$5,758.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,498.09 / $2,133.67 / $3,857.68	Professional		$1,498.09	$2,133.67	$3,857.68
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 $923.36 / $1,418.46 / $3,032.44	Professional		$923.36	$1,418.46	$3,032.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,157.22 / $1,426.74 / $3,441.11	Professional		$1,157.22	$1,426.74	$3,441.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,121.59 / $1,514.16	Professional		$1,116.90	$1,121.59	$1,514.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,009.44 / $1,311.00 / $2,406.16	Professional		$1,009.44	$1,311.00	$2,406.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,378.62 / $11,515.32	Facility		$55.00	$9,378.62	$11,515.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,843.00 / $11,843.00 / $11,843.00	Professional		$11,843.00	$11,843.00	$11,843.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.03 / $1,546.83 / $2,159.17	Facility		$1,109.03	$1,546.83	$2,159.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,157.22 / $1,441.22 / $3,230.74	Professional		$1,157.22	$1,441.22	$3,230.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,572.96 / $3,572.96 / $3,572.96	Professional		$3,572.96	$3,572.96	$3,572.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,060.01 / $1,408.50 / $2,112.75	Professional		$1,060.01	$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 $957.96 / $1,399.22 / $3,479.82	Professional		$957.96	$1,399.22	$3,479.82