Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.16 / $9,639.00 / $20,509.00	Facility		$1,437.16	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,222.01 / $1,381.58 / $6,826.43	Professional		$1,222.01	$1,381.58	$6,826.43
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 $1,472.27 / $1,981.33 / $3,755.48	Professional		$1,472.27	$1,981.33	$3,755.48
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 $908.07 / $1,397.17 / $3,434.83	Professional		$908.07	$1,397.17	$3,434.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,244.85 / $1,674.76 / $5,096.57	Professional		$1,244.85	$1,674.76	$5,096.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,425.33 / $1,710.40	Professional		$1,011.91	$1,425.33	$1,710.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.80 / $1,640.50 / $2,915.95	Professional		$1,282.80	$1,640.50	$2,915.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $8,273.09 / $10,470.60	Facility		$55.00	$8,273.09	$10,470.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,207.00 / $15,207.00 / $15,207.00	Professional		$15,207.00	$15,207.00	$15,207.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,367.08 / $1,740.79 / $2,374.05	Facility		$1,367.08	$1,740.79	$2,374.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,283.47 / $1,692.35 / $3,660.14	Professional		$1,283.47	$1,692.35	$3,660.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,235.67 / $4,235.67 / $4,235.67	Professional		$4,235.67	$4,235.67	$4,235.67
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 $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 $1,085.29 / $1,563.85 / $4,144.24	Professional		$1,085.29	$1,563.85	$4,144.24