Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.49 / $9,674.00 / $22,330.11	Facility		$1,455.49	$9,674.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,313.91 / $1,455.49 / $7,486.78	Professional		$1,313.91	$1,455.49	$7,486.78
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 $1,911.42 / $2,732.10 / $4,969.18	Professional		$1,911.42	$2,732.10	$4,969.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,111.97 / $1,708.88 / $3,741.76	Professional		$1,111.97	$1,708.88	$3,741.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,446.64 / $1,771.57 / $4,367.26	Professional		$1,446.64	$1,771.57	$4,367.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,532.50 / $1,861.50 / $2,347.50	Professional		$1,532.50	$1,861.50	$2,347.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,369.18 / $1,748.87 / $3,220.00	Professional		$1,369.18	$1,748.87	$3,220.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,634.61 / $31,681.36	Facility		$55.00	$25,634.61	$31,681.36
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 $1,457.39 / $1,929.38 / $3,136.05	Facility		$1,457.39	$1,929.38	$3,136.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,457.39 / $1,771.57 / $4,089.04	Professional		$1,457.39	$1,771.57	$4,089.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,645.39 / $4,645.39 / $4,645.39	Professional		$4,645.39	$4,645.39	$4,645.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,414.21 / $2,347.50 / $3,521.25	Professional		$1,414.21	$2,347.50	$3,521.25
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 $1,229.03 / $1,737.58 / $3,676.60	Professional		$1,229.03	$1,737.58	$3,676.60