Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,341.54 / $9,639.00 / $20,509.00	Facility		$1,341.54	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,140.42 / $1,292.02 / $6,530.82	Professional		$1,140.42	$1,292.02	$6,530.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $8,530.00 / $17,774.00	Facility		$3,738.00	$8,530.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,371.01 / $1,845.06 / $3,606.94	Professional		$1,371.01	$1,845.06	$3,606.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $7,300.60	Facility		$64.20	$100.00	$7,300.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $872.59 / $1,343.33 / $3,300.62	Professional		$872.59	$1,343.33	$3,300.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,227.56 / $1,606.44 / $4,693.60	Professional		$1,227.56	$1,606.44	$4,693.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.38 / $1,375.34 / $1,721.18	Professional		$1,137.38	$1,375.34	$1,721.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.81 / $1,582.79 / $2,847.82	Professional		$1,237.81	$1,582.79	$2,847.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,979.02 / $10,098.20	Facility		$55.00	$7,979.02	$10,098.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,316.00 / $12,343.06 / $12,750.38	Professional		$10,316.00	$12,343.06	$12,750.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,259.70 / $1,650.41 / $2,206.44	Facility		$1,259.70	$1,650.41	$2,206.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,244.83 / $1,632.64 / $3,491.69	Professional		$1,244.83	$1,632.64	$3,491.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,052.25 / $4,052.25 / $4,052.25	Professional		$4,052.25	$4,052.25	$4,052.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,137.38 / $1,526.78 / $2,151.48	Professional		$1,137.38	$1,526.78	$2,151.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.53 / $1,493.10 / $3,964.95	Professional		$1,029.53	$1,493.10	$3,964.95