Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,307.61 / $9,639.00 / $20,509.00	Facility		$1,307.61	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.97 / $1,307.61 / $7,202.97	Professional		$1,176.97	$1,307.61	$7,202.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,218.51 / $6,905.00 / $18,030.00	Facility		$1,218.51	$6,905.00	$18,030.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,527.25 / $2,276.36 / $4,334.50	Professional		$1,527.25	$2,276.36	$4,334.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $100.00 / $5,844.50	Facility		$64.00	$100.00	$5,844.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $926.74 / $1,423.48 / $3,171.80	Professional		$926.74	$1,423.48	$3,171.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.52 / $1,645.88 / $4,159.87	Professional		$1,260.52	$1,645.88	$4,159.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,511.35 / $1,662.49 / $1,964.76	Professional		$1,511.35	$1,662.49	$1,964.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.11 / $1,678.85 / $3,136.25	Professional		$1,336.11	$1,678.85	$3,136.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,156.35 / $11,313.89	Facility		$55.00	$9,156.35	$11,313.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,088.25 / $10,119.04 / $12,101.78	Professional		$10,088.25	$10,119.04	$12,101.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,256.47 / $1,683.07 / $2,280.14	Facility		$1,256.47	$1,683.07	$2,280.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,254.83 / $1,661.69 / $3,922.42	Professional		$1,254.83	$1,661.69	$3,922.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,469.30 / $4,469.30 / $4,469.30	Professional		$4,469.30	$4,469.30	$4,469.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,218.01 / $1,383.09 / $1,674.76	Professional		$1,218.01	$1,383.09	$1,674.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,523.00 / $7,454.00 / $17,471.00	Facility		$3,523.00	$7,454.00	$17,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,170.24 / $1,624.15 / $3,792.09	Professional		$1,170.24	$1,624.15	$3,792.09