Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.02 / $9,639.00 / $20,509.00	Facility		$1,400.02	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.61 / $1,400.01 / $7,853.26	Professional		$1,245.61	$1,400.01	$7,853.26
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 $1,698.84 / $2,337.87 / $4,281.08	Professional		$1,698.84	$2,337.87	$4,281.08
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 $995.83 / $1,536.38 / $3,766.79	Professional		$995.83	$1,536.38	$3,766.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,399.57 / $1,898.46 / $5,143.33	Professional		$1,399.57	$1,898.46	$5,143.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.42 / $1,721.29 / $2,065.55	Professional		$1,317.42	$1,721.29	$2,065.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,540.61 / $1,979.48 / $3,502.69	Professional		$1,540.61	$1,979.48	$3,502.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,337.60 / $14,335.12	Facility		$55.00	$11,337.60	$14,335.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,036.96 / $11,348.40 / $12,934.95	Professional		$11,036.96	$11,348.40	$12,934.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,562.98 / $1,956.71 / $2,810.10	Facility		$1,562.98	$1,956.71	$2,810.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,404.77 / $1,955.83 / $4,222.93	Professional		$1,404.77	$1,955.83	$4,222.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,872.79 / $4,872.79 / $4,872.79	Professional		$4,872.79	$4,872.79	$4,872.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,317.42 / $1,844.39 / $2,239.61	Professional		$1,317.42	$1,844.39	$2,239.61
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 $1,171.00 / $1,734.80 / $5,031.05	Professional		$1,171.00	$1,734.80	$5,031.05