Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.07 / $9,639.00 / $20,509.00	Facility		$1,350.07	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,227.35 / $1,350.07 / $6,637.10	Professional		$1,227.35	$1,350.07	$6,637.10
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 $1,488.30 / $2,371.55 / $4,389.87	Professional		$1,488.30	$2,371.55	$4,389.87
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 $1,019.98 / $1,567.30 / $3,374.24	Professional		$1,019.98	$1,567.30	$3,374.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,319.80 / $1,627.53 / $4,018.15	Professional		$1,319.80	$1,627.53	$4,018.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,299.09 / $1,688.83	Professional		$1,116.90	$1,299.09	$1,688.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,169.19 / $1,503.95 / $2,769.65	Professional		$1,169.19	$1,503.95	$2,769.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,055.04 / $23,545.28	Facility		$55.00	$19,055.04	$23,545.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,574.00 / $10,574.00 / $10,979.93	Professional		$10,574.00	$10,574.00	$10,979.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,272.99 / $1,699.80 / $2,519.40	Facility		$1,272.99	$1,699.80	$2,519.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.79 / $1,620.02 / $3,704.93	Professional		$1,288.79	$1,620.02	$3,704.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,118.18 / $4,118.18 / $4,118.18	Professional		$4,118.18	$4,118.18	$4,118.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,438.29 / $2,112.75	Professional		$1,116.90	$1,438.29	$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 $1,103.46 / $1,560.05 / $3,627.06	Professional		$1,103.46	$1,560.05	$3,627.06