Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,624.86 / $9,639.00 / $20,509.00	Facility		$1,624.86	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.41 / $1,624.86 / $8,295.83	Professional		$1,469.41	$1,624.86	$8,295.83
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 $2,119.02 / $2,862.03 / $5,461.08	Professional		$2,119.02	$2,862.03	$5,461.08
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 $1,117.31 / $1,717.75 / $3,827.49	Professional		$1,117.31	$1,717.75	$3,827.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.16 / $1,981.23 / $4,835.50	Professional		$1,567.16	$1,981.23	$4,835.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.19 / $1,680.15 / $2,268.19	Professional		$1,645.19	$1,680.15	$2,268.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.30 / $1,900.81 / $3,528.93	Professional		$1,508.30	$1,900.81	$3,528.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,322.97 / $38,739.54	Facility		$55.00	$31,322.97	$38,739.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,165.34 / $12,165.34 / $13,760.93	Professional		$12,165.34	$12,165.34	$13,760.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.01 / $2,115.67 / $2,799.26	Facility		$1,584.01	$2,115.67	$2,799.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,567.16 / $1,974.62 / $4,489.35	Professional		$1,567.16	$1,974.62	$4,489.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,147.42 / $5,147.42 / $5,147.42	Professional		$5,147.42	$5,147.42	$5,147.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,556.40 / $2,074.71 / $3,112.08	Professional		$1,556.40	$2,074.71	$3,112.08
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 $1,365.04 / $1,929.87 / $4,544.91	Professional		$1,365.04	$1,929.87	$4,544.91