Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.61 / $9,639.00 / $20,509.00	Facility		$1,292.61	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,113.52 / $1,339.04 / $7,052.83	Professional		$1,113.52	$1,339.04	$7,052.83
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 $1,736.90 / $2,276.51 / $4,376.97	Professional		$1,736.90	$2,276.51	$4,376.97
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 $1,066.18 / $1,640.13 / $4,014.65	Professional		$1,066.18	$1,640.13	$4,014.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.57 / $1,791.30 / $5,186.47	Professional		$1,370.57	$1,791.30	$5,186.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.74 / $1,603.70 / $1,924.44	Professional		$1,121.74	$1,603.70	$1,924.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,440.48 / $1,844.26 / $3,273.05	Professional		$1,440.48	$1,844.26	$3,273.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,196.85 / $31,883.14	Facility		$55.00	$25,196.85	$31,883.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,402.64 / $10,672.24 / $12,037.88	Professional		$10,402.64	$10,672.24	$12,037.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,487.75 / $1,893.19 / $2,730.12	Facility		$1,487.75	$1,893.19	$2,730.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,370.57 / $1,830.91 / $3,899.67	Professional		$1,370.57	$1,830.91	$3,899.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,376.13 / $4,376.13 / $4,376.13	Professional		$4,376.13	$4,376.13	$4,376.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,121.74 / $1,682.61 / $2,121.91	Professional		$1,121.74	$1,682.61	$2,121.91
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 $1,147.22 / $1,656.05 / $4,495.57	Professional		$1,147.22	$1,656.05	$4,495.57