Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.54 / $9,639.00 / $20,509.00	Facility		$1,345.54	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,156.15 / $1,390.30 / $7,346.55	Professional		$1,156.15	$1,390.30	$7,346.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,234.59 / $21,555.87	Facility		$4,108.00	$10,234.59	$21,555.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,743.82 / $2,285.59 / $4,394.43	Professional		$1,743.82	$2,285.59	$4,394.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $9,907.12	Facility		$64.20	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,126.88 / $1,736.90 / $4,253.09	Professional		$1,126.88	$1,736.90	$4,253.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.43 / $1,885.02 / $5,464.80	Professional		$1,453.43	$1,885.02	$5,464.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,518.10 / $1,914.43	Professional		$1,265.08	$1,518.10	$1,914.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,362.42 / $1,757.89 / $3,134.82	Professional		$1,362.42	$1,757.89	$3,134.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,820.84 / $29,441.88	Facility		$55.00	$23,820.84	$29,441.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,010.56 / $10,259.12 / $12,213.23	Professional		$10,010.56	$10,259.12	$12,213.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,434.44 / $1,885.02 / $3,047.88	Facility		$1,434.44	$1,885.02	$3,047.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,450.01 / $1,885.02 / $4,055.46	Professional		$1,450.01	$1,885.02	$4,055.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,558.39 / $4,558.39 / $4,558.39	Professional		$4,558.39	$4,558.39	$4,558.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,655.29 / $2,393.04	Professional		$1,265.08	$1,655.29	$2,393.04
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 $1,168.11 / $1,681.40 / $5,050.38	Professional		$1,168.11	$1,681.40	$5,050.38