Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,555.64 / $9,639.00 / $20,509.00	Facility		$1,555.64	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,425.30 / $1,555.64 / $5,914.98	Professional		$1,425.30	$1,555.64	$5,914.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,163.93 / $20,418.00	Facility		$4,314.00	$10,163.93	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,602.10 / $2,156.05 / $4,105.99	Professional		$1,602.10	$2,156.05	$4,105.99
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 $977.31 / $1,498.59 / $3,694.65	Professional		$977.31	$1,498.59	$3,694.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,353.42 / $1,822.20 / $5,543.91	Professional		$1,353.42	$1,822.20	$5,543.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,538.39 / $1,846.07	Professional		$1,096.42	$1,538.39	$1,846.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,384.55 / $1,771.38 / $3,212.41	Professional		$1,384.55	$1,771.38	$3,212.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,228.79 / $12,945.04	Facility		$55.00	$10,228.79	$12,945.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,530.13 / $12,225.55 / $12,628.99	Professional		$11,530.13	$12,225.55	$12,628.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.15 / $1,907.61 / $2,519.40	Facility		$1,476.15	$1,907.61	$2,519.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.28 / $1,828.48 / $3,947.30	Professional		$1,380.28	$1,828.48	$3,947.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,551.71 / $4,551.71 / $4,551.71	Professional		$4,551.71	$4,551.71	$4,551.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,644.64 / $2,074.02	Professional		$1,096.42	$1,644.64	$2,074.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,110.00 / $9,707.00 / $21,278.00	Facility		$4,110.00	$9,707.00	$21,278.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,699.96 / $4,451.26	Professional		$1,163.82	$1,699.96	$4,451.26