Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.47 / $9,639.00 / $20,509.00	Facility		$1,393.47	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.54 / $1,343.85 / $5,469.25	Professional		$1,214.54	$1,343.85	$5,469.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,393.00 / $22,145.00	Facility		$3,612.00	$11,393.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,826.79 / $2,436.50 / $4,669.06	Professional		$1,826.79	$2,436.50	$4,669.06
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 $944.61 / $1,452.32 / $3,236.06	Professional		$944.61	$1,452.32	$3,236.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,340.99 / $1,694.72 / $4,139.45	Professional		$1,340.99	$1,694.72	$4,139.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,441.03 / $1,873.34	Professional		$1,223.01	$1,441.03	$1,873.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.99 / $1,646.50 / $3,031.45	Professional		$1,289.99	$1,646.50	$3,031.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,699.82 / $33,276.81	Facility		$55.00	$26,699.82	$33,276.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,125.00 / $13,125.00 / $13,125.00	Professional		$13,125.00	$13,125.00	$13,125.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,352.71 / $1,814.24 / $2,625.00	Facility		$1,352.71	$1,814.24	$2,625.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,340.99 / $1,694.72 / $3,837.33	Professional		$1,340.99	$1,694.72	$3,837.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,406.41 / $4,406.41 / $4,406.41	Professional		$4,406.41	$4,406.41	$4,406.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,596.53 / $2,313.46	Professional		$1,223.01	$1,596.53	$2,313.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.08 / $1,641.87 / $3,891.86	Professional		$1,166.08	$1,641.87	$3,891.86