Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.27 / $9,639.00 / $20,509.00	Facility		$1,570.27	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.20 / $1,570.27 / $7,967.40	Professional		$1,421.20	$1,570.27	$7,967.40
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 $2,072.39 / $2,830.54 / $5,288.07	Professional		$2,072.39	$2,830.54	$5,288.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,133.91 / $1,743.29 / $3,884.40	Professional		$1,133.91	$1,743.29	$3,884.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,550.68 / $1,916.23 / $4,683.95	Professional		$1,550.68	$1,916.23	$4,683.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.46 / $1,613.82 / $2,178.66	Professional		$1,488.46	$1,613.82	$2,178.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,447.05 / $1,845.11 / $3,397.89	Professional		$1,447.05	$1,845.11	$3,397.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,917.23 / $37,008.30	Facility		$55.00	$29,917.23	$37,008.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,154.00 / $18,154.00 / $18,154.00	Professional		$18,154.00	$18,154.00	$18,154.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,537.59 / $2,066.73 / $3,292.06	Facility		$1,537.59	$2,066.73	$3,292.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,531.19 / $1,913.11 / $4,382.47	Professional		$1,531.19	$1,913.11	$4,382.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,943.64 / $4,943.64 / $4,943.64	Professional		$4,943.64	$4,943.64	$4,943.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,488.46 / $1,877.06 / $2,815.59	Professional		$1,488.46	$1,877.06	$2,815.59
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 $1,293.96 / $1,860.41 / $4,363.51	Professional		$1,293.96	$1,860.41	$4,363.51