Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,242.26 / $9,639.00 / $20,509.00	Facility		$1,242.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.03 / $1,292.75 / $7,125.14	Professional		$1,075.03	$1,292.75	$7,125.14
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 $1,654.93 / $2,233.17 / $4,192.71	Professional		$1,654.93	$2,233.17	$4,192.71
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 $1,047.81 / $1,614.59 / $3,963.41	Professional		$1,047.81	$1,614.59	$3,963.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,345.74 / $1,769.03 / $5,049.85	Professional		$1,345.74	$1,769.03	$5,049.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,450.83 / $1,595.91 / $1,958.62	Professional		$1,450.83	$1,595.91	$1,958.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,321.92 / $1,705.31 / $3,042.07	Professional		$1,321.92	$1,705.31	$3,042.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,383.27 / $30,159.84	Facility		$55.00	$24,383.27	$30,159.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,710.95 / $9,955.84 / $11,842.58	Professional		$9,710.95	$9,955.84	$11,842.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,391.54 / $1,813.54 / $2,608.21	Facility		$1,391.54	$1,813.54	$2,608.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,352.36 / $1,771.31 / $3,864.73	Professional		$1,352.36	$1,771.31	$3,864.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,421.00 / $4,421.00 / $4,421.00	Professional		$4,421.00	$4,421.00	$4,421.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,341.73 / $1,858.28 / $2,787.42	Professional		$1,341.73	$1,858.28	$2,787.42
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 $1,130.65 / $1,637.30 / $4,566.77	Professional		$1,130.65	$1,637.30	$4,566.77