Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,436.65 / $9,639.00 / $20,509.00	Facility		$1,436.65	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.40 / $1,360.00 / $6,886.34	Professional		$1,221.40	$1,360.00	$6,886.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,163.93 / $20,418.00	Facility		$4,314.00	$10,163.93	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,510.31 / $2,090.60 / $3,856.65	Professional		$1,510.31	$2,090.60	$3,856.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $5,487.53	Facility		$63.90	$100.00	$5,487.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $886.28 / $1,361.34 / $3,352.43	Professional		$886.28	$1,361.34	$3,352.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,279.38 / $1,713.15 / $5,197.43	Professional		$1,279.38	$1,713.15	$5,197.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,065.52 / $1,440.92 / $1,729.10	Professional		$1,065.52	$1,440.92	$1,729.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,296.83 / $1,659.34 / $2,987.80	Professional		$1,296.83	$1,659.34	$2,987.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,586.16 / $12,130.64	Facility		$55.00	$9,586.16	$12,130.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,480.56 / $9,692.64 / $10,804.88	Professional		$9,480.56	$9,692.64	$10,804.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,341.76 / $1,793.92 / $2,475.00	Facility		$1,341.76	$1,793.92	$2,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,300.19 / $1,714.75 / $3,703.63	Professional		$1,300.19	$1,714.75	$3,703.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,272.84 / $4,272.84 / $4,272.84	Professional		$4,272.84	$4,272.84	$4,272.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,065.52 / $1,598.28 / $2,015.56	Professional		$1,065.52	$1,598.28	$2,015.56
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 $1,060.08 / $1,564.73 / $4,299.63	Professional		$1,060.08	$1,564.73	$4,299.63