Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.94 / $9,665.00 / $20,509.00	Facility		$1,422.94	$9,665.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.91 / $1,422.94 / $7,751.67	Professional		$1,264.91	$1,422.94	$7,751.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,250.00 / $20,786.00	Facility		$4,446.00	$10,250.00	$20,786.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,727.15 / $2,351.52 / $4,312.60	Professional		$1,727.15	$2,351.52	$4,312.60
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 $998.00 / $1,544.74 / $3,775.02	Professional		$998.00	$1,544.74	$3,775.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,397.94 / $1,886.00 / $5,103.66	Professional		$1,397.94	$1,886.00	$5,103.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,555.57 / $1,712.89 / $2,226.76	Professional		$1,555.57	$1,712.89	$2,226.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,533.97 / $1,969.82 / $3,486.87	Professional		$1,533.97	$1,969.82	$3,486.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,291.52 / $14,259.44	Facility		$55.00	$11,291.52	$14,259.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,648.54 / $11,648.54 / $12,881.93	Professional		$11,648.54	$11,648.54	$12,881.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,555.74 / $1,957.15 / $2,740.62	Facility		$1,555.74	$1,957.15	$2,740.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,397.94 / $1,953.11 / $4,171.33	Professional		$1,397.94	$1,953.11	$4,171.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,809.78 / $4,809.78 / $4,809.78	Professional		$4,809.78	$4,809.78	$4,809.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,545.90 / $1,900.76 / $2,644.47	Professional		$1,545.90	$1,900.76	$2,644.47
United Facility/Professional Facility Modifier Low / Median / High Price $8,699.00 / $18,191.00 / $45,545.00	Facility		$8,699.00	$18,191.00	$45,545.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,177.05 / $1,722.69 / $4,346.72	Professional		$1,177.05	$1,722.69	$4,346.72