Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,550.39 / $9,639.00 / $20,509.00	Facility		$1,550.39	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.59 / $1,490.25 / $7,283.00	Professional		$1,317.59	$1,490.25	$7,283.00
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 $1,592.36 / $2,204.17 / $4,118.66	Professional		$1,592.36	$2,204.17	$4,118.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $967.17 / $1,487.69 / $3,658.39	Professional		$967.17	$1,487.69	$3,658.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,344.19 / $1,809.92 / $5,499.05	Professional		$1,344.19	$1,809.92	$5,499.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.83 / $1,531.75 / $1,838.10	Professional		$1,125.83	$1,531.75	$1,838.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,378.58 / $1,762.76 / $3,132.69	Professional		$1,378.58	$1,762.76	$3,132.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,153.44 / $12,858.72	Facility		$55.00	$10,153.44	$12,858.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,448.23 / $12,420.21 / $12,830.07	Professional		$11,448.23	$12,420.21	$12,830.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,468.97 / $1,908.10 / $2,747.50	Facility		$1,468.97	$1,908.10	$2,747.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,372.06 / $1,811.21 / $3,920.83	Professional		$1,372.06	$1,811.21	$3,920.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,518.97 / $4,518.97 / $4,518.97	Professional		$4,518.97	$4,518.97	$4,518.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,125.83 / $1,688.75 / $2,129.65	Professional		$1,125.83	$1,688.75	$2,129.65
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 $1,120.00 / $1,680.00 / $4,421.46	Professional		$1,120.00	$1,680.00	$4,421.46