Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.89 / $9,639.00 / $20,509.00	Facility		$1,674.89	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,510.53 / $1,674.89 / $8,508.33	Professional		$1,510.53	$1,674.89	$8,508.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,203.84 / $3,144.12 / $5,825.92	Professional		$2,203.84	$3,144.12	$5,825.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,393.26	Facility		$63.50	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,289.39 / $1,982.87 / $4,284.54	Professional		$1,289.39	$1,982.87	$4,284.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,641.88 / $2,043.01 / $4,954.00	Professional		$1,641.88	$2,043.01	$4,954.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,731.19 / $2,250.55	Professional		$1,399.85	$1,731.19	$2,250.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,550.79 / $2,009.51 / $3,644.05	Professional		$1,550.79	$2,009.51	$3,644.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $32,154.99 / $39,764.33	Facility		$55.00	$32,154.99	$39,764.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,176.00 / $19,176.00 / $19,176.00	Professional		$19,176.00	$19,176.00	$19,176.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,649.91 / $2,208.61 / $3,517.24	Facility		$1,649.91	$2,208.61	$3,517.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,649.91 / $2,043.01 / $4,696.16	Professional		$1,649.91	$2,043.01	$4,696.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,279.26 / $5,279.26 / $5,279.26	Professional		$5,279.26	$5,279.26	$5,279.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,917.85 / $2,647.98	Professional		$1,399.85	$1,917.85	$2,647.98
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 $1,398.68 / $1,964.12 / $4,468.97	Professional		$1,398.68	$1,964.12	$4,468.97