Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.89 / $9,665.00 / $21,960.90	Facility		$1,758.89	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,589.57 / $1,758.89 / $8,921.77	Professional		$1,589.57	$1,758.89	$8,921.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,517.00 / $9,644.00 / $19,252.00	Facility		$3,517.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,327.81 / $3,179.38 / $5,939.78	Professional		$2,327.81	$3,179.38	$5,939.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,321.90 / $2,035.34 / $4,456.58	Professional		$1,321.90	$2,035.34	$4,456.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,740.49 / $2,144.59 / $5,297.14	Professional		$1,740.49	$2,144.59	$5,297.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.74 / $1,915.48 / $2,437.75	Professional		$1,805.74	$1,915.48	$2,437.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,619.82 / $2,065.17 / $3,803.00	Professional		$1,619.82	$2,065.17	$3,803.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,495.83 / $41,446.23	Facility		$55.00	$33,495.83	$41,446.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,307.00 / $21,307.00 / $21,307.00	Professional		$21,307.00	$21,307.00	$21,307.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,720.98 / $2,273.29 / $3,384.92	Facility		$1,720.98	$2,273.29	$3,384.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,728.60 / $2,143.23 / $4,928.87	Professional		$1,728.60	$2,143.23	$4,928.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,535.78 / $5,535.78 / $5,535.78	Professional		$5,535.78	$5,535.78	$5,535.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,671.50 / $2,415.58 / $3,623.37	Professional		$1,671.50	$2,415.58	$3,623.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,426.00 / $18,709.00	Facility		$1,940.00	$6,426.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,461.49 / $2,073.96 / $4,885.60	Professional		$1,461.49	$2,073.96	$4,885.60