Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.10 / $9,639.00 / $20,509.00	Facility		$1,376.10	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.44 / $1,320.27 / $6,469.67	Professional		$1,167.44	$1,320.27	$6,469.67
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 $1,411.02 / $1,831.50 / $3,592.95	Professional		$1,411.02	$1,831.50	$3,592.95
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 $843.56 / $1,298.24 / $3,190.84	Professional		$843.56	$1,298.24	$3,190.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,190.89 / $1,603.84 / $4,884.77	Professional		$1,190.89	$1,603.84	$4,884.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,367.82 / $1,690.20	Professional		$1,116.90	$1,367.82	$1,690.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,229.33 / $1,573.50 / $2,794.73	Professional		$1,229.33	$1,573.50	$2,794.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,049.44 / $11,447.92	Facility		$55.00	$9,049.44	$11,447.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,764.62 / $9,764.62 / $10,209.83	Professional		$9,764.62	$9,764.62	$10,209.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.24 / $1,663.54 / $2,615.96	Facility		$1,308.24	$1,663.54	$2,615.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,215.28 / $1,609.38 / $3,488.46	Professional		$1,215.28	$1,609.38	$3,488.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,014.31 / $4,014.31 / $4,014.31	Professional		$4,014.31	$4,014.31	$4,014.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,518.45 / $2,112.75	Professional		$1,116.90	$1,518.45	$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 $1,025.23 / $1,507.90 / $4,120.87	Professional		$1,025.23	$1,507.90	$4,120.87