Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,151.68 / $4,151.68 / $97,420.00	Facility		$4,151.68	$4,151.68	$97,420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,821.36 / $4,151.68 / $97,420.00	Professional		$2,821.36	$4,151.68	$97,420.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,751.00 / $10,099.00 / $20,369.00	Facility		$3,751.00	$10,099.00	$20,369.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,086.95 / $18,831.54 / $44,619.11	Professional		$1,086.95	$18,831.54	$44,619.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,062.37 / $7,921.48 / $24,422.74	Facility		$4,062.37	$7,921.48	$24,422.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $840.52 / $8,243.69 / $34,214.28	Professional		$840.52	$8,243.69	$34,214.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,118.64 / $1,613.33 / $27,232.98	Professional		$1,118.64	$1,613.33	$27,232.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $646.30 / $895.10 / $17,748.37	Professional		$646.30	$895.10	$17,748.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.90 / $7,491.72 / $19,227.40	Professional		$707.90	$7,491.72	$19,227.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $5,776.96 / $19,953.80	Facility		$55.00	$5,776.96	$19,953.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $41,535.61 / $79,407.42 / $92,631.68	Professional		$41,535.61	$79,407.42	$92,631.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $813.65 / $1,788.93 / $20,884.59	Facility		$813.65	$1,788.93	$20,884.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.90 / $2,146.03 / $32,963.26	Professional		$707.90	$2,146.03	$32,963.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,406.69 / $2,406.69 / $47,976.66	Professional		$2,406.69	$2,406.69	$47,976.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $646.30 / $840.21 / $16,449.68	Professional		$646.30	$840.21	$16,449.68
United Facility/Professional Facility Modifier Low / Median / High Price $21,950.58 / $37,434.21 / $37,434.21	Facility		$21,950.58	$37,434.21	$37,434.21
United Facility/Professional Professional Modifier Low / Median / High Price $11,580.72 / $16,885.36 / $40,521.44	Professional		$11,580.72	$16,885.36	$40,521.44