Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.33 / $9,639.00 / $20,509.00	Facility		$1,267.33	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,078.39 / $1,218.10 / $6,032.42	Professional		$1,078.39	$1,218.10	$6,032.42
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 $1,300.23 / $1,752.56 / $3,311.97	Professional		$1,300.23	$1,752.56	$3,311.97
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 $835.35 / $1,284.33 / $3,146.47	Professional		$835.35	$1,284.33	$3,146.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,134.10 / $1,484.27 / $4,493.57	Professional		$1,134.10	$1,484.27	$4,493.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,268.57 / $1,577.52	Professional		$1,042.44	$1,268.57	$1,577.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,141.71 / $1,460.14 / $2,595.56	Professional		$1,141.71	$1,460.14	$2,595.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,417.36 / $10,655.20	Facility		$55.00	$8,417.36	$10,655.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,088.82 / $11,088.82 / $11,088.82	Professional		$11,088.82	$11,088.82	$11,088.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,216.78 / $1,581.81 / $2,475.00	Facility		$1,216.78	$1,581.81	$2,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,142.52 / $1,496.95 / $3,246.73	Professional		$1,142.52	$1,496.95	$3,246.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,743.00 / $3,743.00 / $3,743.00	Professional		$3,743.00	$3,743.00	$3,743.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,042.44 / $1,408.23 / $1,971.90	Professional		$1,042.44	$1,408.23	$1,971.90
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 $956.52 / $1,465.35 / $4,198.62	Professional		$956.52	$1,465.35	$4,198.62