Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.21 / $9,639.00 / $20,509.00	Facility		$1,221.21	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,052.42 / $1,265.57 / $6,776.54	Professional		$1,052.42	$1,265.57	$6,776.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,595.30 / $2,136.75 / $3,986.44	Professional		$1,595.30	$2,136.75	$3,986.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $994.60 / $1,531.15 / $3,735.40	Professional		$994.60	$1,531.15	$3,735.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,307.08 / $1,687.14 / $4,890.14	Professional		$1,307.08	$1,687.14	$4,890.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.49 / $1,511.27 / $1,854.74	Professional		$1,294.49	$1,511.27	$1,854.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,253.88 / $1,617.98 / $2,927.28	Professional		$1,253.88	$1,617.98	$2,927.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,152.07 / $28,616.66	Facility		$55.00	$23,152.07	$28,616.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,218.08 / $9,447.36 / $11,243.33	Professional		$9,218.08	$9,447.36	$11,243.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,311.06 / $1,717.57 / $2,546.83	Facility		$1,311.06	$1,717.57	$2,546.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,311.06 / $1,701.83 / $3,667.93	Professional		$1,311.06	$1,701.83	$3,667.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,204.71 / $4,204.71 / $4,204.71	Professional		$4,204.71	$4,204.71	$4,204.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,272.08 / $1,632.45 / $2,448.67	Professional		$1,272.08	$1,632.45	$2,448.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,076.32 / $1,537.59 / $4,342.64	Professional		$1,076.32	$1,537.59	$4,342.64