Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.05 / $9,639.00 / $20,509.00	Facility		$1,610.05	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,459.35 / $1,610.05 / $8,222.53	Professional		$1,459.35	$1,610.05	$8,222.53
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 $2,108.17 / $2,832.28 / $5,433.15	Professional		$2,108.17	$2,832.28	$5,433.15
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,374.24	Facility		$63.50	$100.00	$7,374.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,118.26 / $1,718.61 / $3,829.41	Professional		$1,118.26	$1,718.61	$3,829.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,561.78 / $1,967.67 / $4,835.50	Professional		$1,561.78	$1,967.67	$4,835.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,237.90 / $1,561.09 / $2,163.81	Professional		$1,237.90	$1,561.09	$2,163.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,493.26 / $1,877.35 / $3,490.45	Professional		$1,493.26	$1,877.35	$3,490.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,886.80 / $38,187.87	Facility		$55.00	$30,886.80	$38,187.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,371.15 / $11,434.40 / $13,532.85	Professional		$11,371.15	$11,434.40	$13,532.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,566.82 / $2,105.73 / $2,761.65	Facility		$1,566.82	$2,105.73	$2,761.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,561.78 / $1,965.36 / $4,507.53	Professional		$1,561.78	$1,965.36	$4,507.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,101.92 / $5,101.92 / $5,101.92	Professional		$5,101.92	$5,101.92	$5,101.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,237.90 / $1,733.06 / $2,341.63	Professional		$1,237.90	$1,733.06	$2,341.63
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 $1,352.86 / $1,937.19 / $4,505.18	Professional		$1,352.86	$1,937.19	$4,505.18