Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.24 / $9,665.00 / $21,960.90	Facility		$1,463.24	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.21 / $1,463.24 / $7,430.16	Professional		$1,323.21	$1,463.24	$7,430.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,400.00 / $27,000.74	Facility		$4,437.00	$11,400.00	$27,000.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,798.01 / $2,551.12 / $4,918.56	Professional		$1,798.01	$2,551.12	$4,918.56
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 $1,004.15 / $1,544.52 / $3,441.50	Professional		$1,004.15	$1,544.52	$3,441.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,415.01 / $1,784.11 / $4,412.20	Professional		$1,415.01	$1,784.11	$4,412.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.01 / $1,531.27 / $2,038.51	Professional		$1,510.01	$1,531.27	$2,038.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,352.19 / $1,699.04 / $3,161.62	Professional		$1,352.19	$1,699.04	$3,161.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,276.96 / $26,324.00	Facility		$55.00	$21,276.96	$26,324.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,113.84 / $10,343.44 / $12,236.55	Professional		$10,113.84	$10,343.44	$12,236.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,415.87 / $1,861.80 / $2,433.69	Facility		$1,415.87	$1,861.80	$2,433.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,415.01 / $1,782.92 / $4,095.98	Professional		$1,415.01	$1,782.92	$4,095.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,610.27 / $4,610.27 / $4,610.27	Professional		$4,610.27	$4,610.27	$4,610.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,395.82 / $1,931.05 / $2,896.58	Professional		$1,395.82	$1,931.05	$2,896.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,221.48 / $1,746.90 / $3,901.31	Professional		$1,221.48	$1,746.90	$3,901.31