Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.62 / $9,639.00 / $20,509.00	Facility		$1,568.62	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,416.88 / $1,568.62 / $8,029.55	Professional		$1,416.88	$1,568.62	$8,029.55
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 $2,066.50 / $2,953.75 / $5,345.62	Professional		$2,066.50	$2,953.75	$5,345.62
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 $1,218.16 / $1,873.98 / $4,045.17	Professional		$1,218.16	$1,873.98	$4,045.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.13 / $1,928.05 / $4,682.70	Professional		$1,551.13	$1,928.05	$4,682.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.14 / $1,653.01 / $2,211.48	Professional		$1,638.14	$1,653.01	$2,211.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,465.90 / $1,900.61 / $3,445.73	Professional		$1,465.90	$1,900.61	$3,445.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,371.46 / $37,534.98	Facility		$55.00	$30,371.46	$37,534.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,455.00 / $21,927.30 / $21,927.30	Professional		$20,455.00	$21,927.30	$21,927.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,559.89 / $2,071.67 / $3,281.52	Facility		$1,559.89	$2,071.67	$3,281.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,559.89 / $1,923.12 / $4,429.35	Professional		$1,559.89	$1,923.12	$4,429.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,982.17 / $4,982.17 / $4,982.17	Professional		$4,982.17	$4,982.17	$4,982.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,513.63 / $2,084.58 / $3,126.87	Professional		$1,513.63	$2,084.58	$3,126.87
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 $1,319.22 / $1,865.09 / $4,401.46	Professional		$1,319.22	$1,865.09	$4,401.46