Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,364.44 / $9,639.00 / $20,509.00	Facility		$1,364.44	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,192.85 / $1,316.50 / $6,188.70	Professional		$1,192.85	$1,316.50	$6,188.70
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 $1,567.50 / $2,260.86 / $4,089.11	Professional		$1,567.50	$2,260.86	$4,089.11
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 $978.54 / $1,503.29 / $3,224.17	Professional		$978.54	$1,503.29	$3,224.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.31 / $1,541.53 / $3,696.96	Professional		$1,227.31	$1,541.53	$3,696.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,211.02 / $1,634.88	Professional		$1,116.90	$1,211.02	$1,634.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.92 / $1,410.80 / $2,592.44	Professional		$1,089.92	$1,410.80	$2,592.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,319.01 / $15,151.18	Facility		$55.00	$12,319.01	$15,151.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,151.00 / $10,151.00 / $10,323.68	Professional		$10,151.00	$10,151.00	$10,323.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,232.01 / $1,654.05 / $2,422.50	Facility		$1,232.01	$1,654.05	$2,422.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,227.31 / $1,541.92 / $3,468.32	Professional		$1,227.31	$1,541.92	$3,468.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,839.97 / $3,839.97 / $3,839.97	Professional		$3,839.97	$3,839.97	$3,839.97
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 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,032.98 / $1,460.42 / $3,378.90	Professional		$1,032.98	$1,460.42	$3,378.90