Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.02 / $9,639.00 / $20,509.00	Facility		$1,537.02	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,316.58 / $1,537.02 / $7,572.89	Professional		$1,316.58	$1,537.02	$7,572.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,550.11 / $2,059.37 / $4,100.72	Professional		$1,550.11	$2,059.37	$4,100.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $930.95 / $1,430.66 / $3,521.39	Professional		$930.95	$1,430.66	$3,521.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.68 / $1,862.77 / $5,134.21	Professional		$1,341.68	$1,862.77	$5,134.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $1,897.74	Professional		$1,011.91	$1,531.32	$1,897.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,423.64 / $1,834.54 / $3,287.00	Professional		$1,423.64	$1,834.54	$3,287.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,988.88 / $13,566.72	Facility		$55.00	$10,988.88	$13,566.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,385.84 / $10,618.32 / $12,708.08	Professional		$10,385.84	$10,618.32	$12,708.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,501.35 / $1,890.97 / $2,520.00	Facility		$1,501.35	$1,890.97	$2,520.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.68 / $1,907.98 / $4,119.10	Professional		$1,341.68	$1,907.98	$4,119.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,698.85 / $4,698.85 / $4,698.85	Professional		$4,698.85	$4,698.85	$4,698.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,517.87 / $1,914.15	Professional		$1,011.91	$1,517.87	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,108.00 / $18,709.00	Facility		$1,919.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,236.01 / $1,713.60 / $4,599.75	Professional		$1,236.01	$1,713.60	$4,599.75