Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,358.72 / $9,029.00 / $21,960.90	Facility		$1,358.72	$9,029.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,212.71 / $1,358.72 / $6,785.05	Professional		$1,212.71	$1,358.72	$6,785.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,697.00 / $22,145.00	Facility		$3,738.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,788.13 / $2,442.26 / $4,562.68	Professional		$1,788.13	$2,442.26	$4,562.68
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 $939.60 / $1,436.15 / $3,200.03	Professional		$939.60	$1,436.15	$3,200.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,311.48 / $1,629.23 / $4,073.75	Professional		$1,311.48	$1,629.23	$4,073.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,402.71 / $1,834.52	Professional		$1,223.01	$1,402.71	$1,834.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,247.35 / $1,619.00 / $2,937.83	Professional		$1,247.35	$1,619.00	$2,937.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,836.74 / $39,363.48	Facility		$55.00	$31,836.74	$39,363.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,784.00 / $12,784.00 / $12,784.00	Professional		$12,784.00	$12,784.00	$12,784.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,306.64 / $1,759.73 / $2,625.00	Facility		$1,306.64	$1,759.73	$2,625.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,328.65 / $1,586.03 / $3,679.02	Professional		$1,328.65	$1,586.03	$3,679.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,209.99 / $4,209.99 / $4,209.99	Professional		$4,209.99	$4,209.99	$4,209.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,554.27 / $2,313.46	Professional		$1,223.01	$1,554.27	$2,313.46
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 $1,106.65 / $1,571.52 / $4,681.39	Professional		$1,106.65	$1,571.52	$4,681.39