Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,387.00 / $8,782.00 / $19,331.00	Facility		$2,387.00	$8,782.00	$19,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,016.63 / $1,348.33 / $7,032.61	Professional		$1,016.63	$1,348.33	$7,032.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,275.00 / $8,592.00 / $17,774.00	Facility		$2,275.00	$8,592.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.73 / $1,756.45 / $3,454.48	Professional		$1,211.73	$1,756.45	$3,454.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,290.89	Facility		$66.00	$100.00	$15,290.89
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $961.96 / $1,390.07 / $3,211.84	Professional		$961.96	$1,390.07	$3,211.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $1,628.10 / $1,628.10	Professional		$1,628.10	$1,628.10	$1,628.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $1,566.74 / $2,115.10	Professional		$534.25	$1,566.74	$2,115.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.84 / $1,631.17 / $3,095.49	Professional		$1,234.84	$1,631.17	$3,095.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,399.16 / $20,130.09 / $26,542.00	Facility		$8,399.16	$20,130.09	$26,542.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,591.60 / $9,867.04 / $10,852.43	Professional		$9,591.60	$9,867.04	$10,852.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,368.29 / $1,708.25 / $2,328.92	Facility		$1,368.29	$1,708.25	$2,328.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,335.27 / $2,492.80 / $3,646.10	Professional		$1,335.27	$2,492.80	$3,646.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,363.60 / $4,363.60 / $4,363.60	Professional		$4,363.60	$4,363.60	$4,363.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $673.73 / $961.65 / $1,741.16	Professional		$673.73	$961.65	$1,741.16
United Facility/Professional Facility Modifier Low / Median / High Price $5,416.00 / $12,341.00 / $26,451.00	Facility		$5,416.00	$12,341.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,019.79 / $1,318.46 / $2,965.64	Professional		$1,019.79	$1,318.46	$2,965.64