Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.50 / $9,639.00 / $20,509.00	Facility		$1,504.50	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,360.14 / $1,504.50 / $7,772.29	Professional		$1,360.14	$1,504.50	$7,772.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,973.29 / $2,735.39 / $5,121.39	Professional		$1,973.29	$2,735.39	$5,121.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,344.10	Facility		$63.50	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,128.63 / $1,726.92 / $3,811.49	Professional		$1,128.63	$1,726.92	$3,811.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,511.30 / $1,847.14 / $4,562.43	Professional		$1,511.30	$1,847.14	$4,562.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,376.39 / $1,588.16 / $2,064.61	Professional		$1,376.39	$1,588.16	$2,064.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.19 / $1,841.74 / $3,339.00	Professional		$1,420.19	$1,841.74	$3,339.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,407.35 / $36,357.51	Facility		$55.00	$29,407.35	$36,357.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $18,750.00 / $18,750.00	Professional		$18,750.00	$18,750.00	$18,750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,511.42 / $1,990.68 / $3,061.16	Facility		$1,511.42	$1,990.68	$3,061.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,511.30 / $1,833.89 / $4,210.18	Professional		$1,511.30	$1,833.89	$4,210.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,822.54 / $4,822.54 / $4,822.54	Professional		$4,822.54	$4,822.54	$4,822.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,376.39 / $1,759.47 / $2,603.61	Professional		$1,376.39	$1,759.47	$2,603.61
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 $1,270.93 / $1,764.24 / $5,376.34	Professional		$1,270.93	$1,764.24	$5,376.34