Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,858.00 / $18,681.00	Facility		$2,197.85	$7,858.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.58 / $1,259.65 / $6,249.45	Professional		$1,155.58	$1,259.65	$6,249.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $8,905.00 / $17,774.00	Facility		$3,242.00	$8,905.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,684.69 / $2,251.92 / $4,127.56	Professional		$1,684.69	$2,251.92	$4,127.56
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.40 / $100.00 / $13,557.42	Facility		$64.40	$100.00	$13,557.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $917.60 / $1,411.77 / $3,091.21	Professional		$917.60	$1,411.77	$3,091.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,259.04 / $1,539.40 / $3,752.04	Professional		$1,259.04	$1,539.40	$3,752.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.19 / $1,214.07 / $1,578.29	Professional		$1,180.19	$1,214.07	$1,578.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.66 / $1,419.73 / $2,604.88	Professional		$1,092.66	$1,419.73	$2,604.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,157.58 / $13,856.55	Facility		$55.00	$10,157.58	$13,856.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,431.63 / $12,431.63 / $12,431.63	Professional		$12,431.63	$12,431.63	$12,431.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,183.10 / $1,523.71 / $2,077.42	Facility		$1,183.10	$1,523.71	$2,077.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,259.04 / $1,539.40 / $3,507.27	Professional		$1,259.04	$1,539.40	$3,507.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,877.68 / $3,877.68 / $3,877.68	Professional		$3,877.68	$3,877.68	$3,877.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,099.49 / $1,343.83 / $2,006.32	Professional		$1,099.49	$1,343.83	$2,006.32
United Facility/Professional Facility Modifier Low / Median / High Price $7,696.00 / $13,784.00 / $29,571.00	Facility		$7,696.00	$13,784.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,044.58 / $1,512.84 / $3,267.76	Professional		$1,044.58	$1,512.84	$3,267.76