Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.42 / $9,639.00 / $20,509.00	Facility		$1,309.42	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.53 / $1,241.98 / $6,276.04	Professional		$1,110.53	$1,241.98	$6,276.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,958.02 / $8,886.00 / $18,332.29	Facility		$3,958.02	$8,886.00	$18,332.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,374.12 / $1,849.24 / $3,521.46	Professional		$1,374.12	$1,849.24	$3,521.46
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 $798.19 / $1,227.32 / $3,019.21	Professional		$798.19	$1,227.32	$3,019.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,171.01 / $1,556.50 / $4,736.14	Professional		$1,171.01	$1,556.50	$4,736.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,003.35 / $1,323.45 / $1,588.14	Professional		$1,003.35	$1,323.45	$1,588.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,190.59 / $1,522.85 / $2,739.52	Professional		$1,190.59	$1,522.85	$2,739.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,671.65 / $9,712.01	Facility		$55.00	$7,671.65	$9,712.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,316.00 / $10,316.00 / $10,316.00	Professional		$10,316.00	$10,316.00	$10,316.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,227.76 / $1,625.67 / $2,546.77	Facility		$1,227.76	$1,625.67	$2,546.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,190.59 / $1,570.57 / $3,382.07	Professional		$1,190.59	$1,570.57	$3,382.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,894.17 / $3,894.17 / $3,894.17	Professional		$3,894.17	$3,894.17	$3,894.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,003.35 / $1,469.18 / $1,897.95	Professional		$1,003.35	$1,469.18	$1,897.95
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 $964.89 / $1,447.32 / $3,718.96	Professional		$964.89	$1,447.32	$3,718.96