Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.65 / $9,639.00 / $20,509.00	Facility		$1,516.65	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.05 / $1,516.65 / $7,801.32	Professional		$1,281.05	$1,516.65	$7,801.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $19,252.00	Facility		$3,028.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,507.11 / $2,086.17 / $4,238.76	Professional		$1,507.11	$2,086.17	$4,238.76
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 $989.07 / $1,515.82 / $3,636.20	Professional		$989.07	$1,515.82	$3,636.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,427.02 / $2,427.02 / $3,500.31	Professional		$2,427.02	$2,427.02	$3,500.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,050.69	Professional		$1,011.91	$1,531.32	$2,050.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,535.85 / $1,965.26 / $3,532.46	Professional		$1,535.85	$1,965.26	$3,532.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,448.96 / $14,155.60	Facility		$55.00	$11,448.96	$14,155.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,672.22 / $12,672.22 / $13,252.73	Professional		$12,672.22	$12,672.22	$13,252.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,541.89 / $1,954.17 / $2,824.80	Facility		$1,541.89	$1,954.17	$2,824.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,545.60 / $3,005.75 / $4,064.81	Professional		$1,545.60	$3,005.75	$4,064.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,840.58 / $4,840.58 / $4,840.58	Professional		$4,840.58	$4,840.58	$4,840.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,550.20 / $1,914.15	Professional		$1,011.91	$1,550.20	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.17 / $1,838.62 / $4,386.88	Professional		$1,224.17	$1,838.62	$4,386.88