Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.18 / $9,639.00 / $20,509.00	Facility		$1,379.18	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.29 / $1,418.13 / $7,512.38	Professional		$1,179.29	$1,418.13	$7,512.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,783.53 / $2,365.94 / $4,450.02	Professional		$1,783.53	$2,365.94	$4,450.02
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 $1,020.40 / $1,599.53 / $3,859.75	Professional		$1,020.40	$1,599.53	$3,859.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.55 / $1,871.24 / $5,484.17	Professional		$1,427.55	$1,871.24	$5,484.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,010.42 / $1,546.24 / $1,855.49	Professional		$1,010.42	$1,546.24	$1,855.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,400.82 / $1,805.35 / $3,243.27	Professional		$1,400.82	$1,805.35	$3,243.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,679.20 / $26,817.28	Facility		$55.00	$21,679.20	$26,817.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,799.88 / $10,799.88 / $12,507.53	Professional		$10,799.88	$10,799.88	$12,507.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,418.13 / $1,814.47 / $2,740.76	Facility		$1,418.13	$1,814.47	$2,740.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,427.55 / $1,871.24 / $4,080.34	Professional		$1,427.55	$1,871.24	$4,080.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,661.30 / $4,661.30 / $4,661.30	Professional		$4,661.30	$4,661.30	$4,661.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,010.42 / $1,424.04 / $1,717.72	Professional		$1,010.42	$1,424.04	$1,717.72
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 $1,189.45 / $1,684.30 / $4,800.03	Professional		$1,189.45	$1,684.30	$4,800.03