Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,522.85 / $10,051.00 / $20,509.00	Facility		$1,522.85	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,330.30 / $1,467.31 / $6,964.73	Professional		$1,330.30	$1,467.31	$6,964.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,350.00 / $32,299.00	Facility		$4,294.00	$14,350.00	$32,299.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,117.59 / $2,943.82 / $5,117.72	Professional		$2,117.59	$2,943.82	$5,117.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $16,381.88	Facility		$63.50	$100.00	$16,381.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,108.29 / $1,643.44 / $3,538.16	Professional		$1,108.29	$1,643.44	$3,538.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.54 / $1,913.92 / $4,801.95	Professional		$1,445.54	$1,913.92	$4,801.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.31 / $1,372.17 / $1,783.82	Professional		$1,302.31	$1,372.17	$1,783.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,234.95 / $1,599.53 / $2,914.97	Professional		$1,234.95	$1,599.53	$2,914.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,832.32 / $24,499.36	Facility		$55.00	$19,832.32	$24,499.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,403.12 / $9,631.68 / $11,393.10	Professional		$9,403.12	$9,631.68	$11,393.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,310.27 / $1,620.42 / $2,210.64	Facility		$1,310.27	$1,620.42	$2,210.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,430.70 / $1,921.04 / $4,400.84	Professional		$1,430.70	$1,921.04	$4,400.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,321.49 / $4,321.49 / $4,321.49	Professional		$4,321.49	$4,321.49	$4,321.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,243.49 / $1,519.82 / $2,213.92	Professional		$1,243.49	$1,519.82	$2,213.92
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 $1,191.89 / $1,809.85 / $4,001.64	Professional		$1,191.89	$1,809.85	$4,001.64