Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,366.39 / $9,639.00 / $20,509.00	Facility		$1,366.39	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,159.34 / $1,311.02 / $6,437.80	Professional		$1,159.34	$1,311.02	$6,437.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,528.00 / $10,021.00 / $21,143.10	Facility		$4,528.00	$10,021.00	$21,143.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,400.93 / $1,939.19 / $3,667.45	Professional		$1,400.93	$1,939.19	$3,667.45
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 $844.02 / $1,299.75 / $3,192.56	Professional		$844.02	$1,299.75	$3,192.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.28 / $1,595.64 / $4,863.76	Professional		$1,190.28	$1,595.64	$4,863.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,360.38 / $1,690.20	Professional		$1,116.90	$1,360.38	$1,690.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,222.15 / $1,564.81 / $2,778.86	Professional		$1,222.15	$1,564.81	$2,778.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,870.31 / $9,964.64	Facility		$55.00	$7,870.31	$9,964.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,764.62 / $9,764.62 / $10,146.00	Professional		$9,764.62	$9,764.62	$10,146.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,303.92 / $1,680.61 / $2,417.80	Facility		$1,303.92	$1,680.61	$2,417.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,209.11 / $1,598.44 / $3,469.27	Professional		$1,209.11	$1,598.44	$3,469.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,994.52 / $3,994.52 / $3,994.52	Professional		$3,994.52	$3,994.52	$3,994.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,510.21 / $2,112.75	Professional		$1,116.90	$1,510.21	$2,112.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,020.33 / $1,519.63 / $4,100.85	Professional		$1,020.33	$1,519.63	$4,100.85