Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.70 / $9,639.00 / $20,509.00	Facility		$1,389.70	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,194.75 / $1,389.70 / $7,230.56	Professional		$1,194.75	$1,389.70	$7,230.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.88 / $8,981.00 / $19,204.00	Facility		$4,043.88	$8,981.00	$19,204.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,439.77 / $1,937.60 / $3,918.96	Professional		$1,439.77	$1,937.60	$3,918.96
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 $880.62 / $1,356.48 / $3,331.01	Professional		$880.62	$1,356.48	$3,331.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $1,736.29 / $4,783.09	Professional		$1,281.33	$1,736.29	$4,783.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,528.42 / $1,834.10	Professional		$1,116.90	$1,528.42	$1,834.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,375.58 / $1,764.83 / $3,162.04	Professional		$1,375.58	$1,764.83	$3,162.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,197.58 / $11,374.09	Facility		$55.00	$9,197.58	$11,374.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,296.85 / $11,296.85 / $12,157.13	Professional		$11,296.85	$11,296.85	$12,157.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,417.92 / $1,788.56 / $2,679.68	Facility		$1,417.92	$1,788.56	$2,679.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,281.33 / $1,766.72 / $3,942.25	Professional		$1,281.33	$1,766.72	$3,942.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,486.42 / $4,486.42 / $4,486.42	Professional		$4,486.42	$4,486.42	$4,486.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,675.35 / $2,112.75	Professional		$1,116.90	$1,675.35	$2,112.75
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 $1,142.41 / $1,672.80 / $4,633.97	Professional		$1,142.41	$1,672.80	$4,633.97