Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.00 / $9,639.00 / $20,509.00	Facility		$1,382.00	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.39 / $1,337.09 / $6,284.21	Professional		$1,212.39	$1,337.09	$6,284.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,981.00 / $18,903.00	Facility		$4,043.00	$8,981.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,636.32 / $2,291.13 / $4,152.22	Professional		$1,636.32	$2,291.13	$4,152.22
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 $973.37 / $1,494.59 / $3,217.70	Professional		$973.37	$1,494.59	$3,217.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,245.49 / $1,554.38 / $3,749.54	Professional		$1,245.49	$1,554.38	$3,749.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,089.72 / $1,230.53 / $1,634.58	Professional		$1,089.72	$1,230.53	$1,634.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,107.48 / $1,433.50 / $2,634.13	Professional		$1,107.48	$1,433.50	$2,634.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,206.88 / $22,393.92	Facility		$55.00	$18,206.88	$22,393.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,227.00 / $15,227.00 / $15,227.00	Professional		$15,227.00	$15,227.00	$15,227.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,248.28 / $1,681.56 / $2,748.87	Facility		$1,248.28	$1,681.56	$2,748.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,245.49 / $1,552.57 / $3,521.87	Professional		$1,245.49	$1,552.57	$3,521.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,899.24 / $3,899.24 / $3,899.24	Professional		$3,899.24	$3,899.24	$3,899.24
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,089.72 / $1,374.23 / $2,061.34	Professional		$1,089.72	$1,374.23	$2,061.34
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 $1,044.29 / $1,482.97 / $3,218.63	Professional		$1,044.29	$1,482.97	$3,218.63