Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.06 / $9,948.10 / $21,960.90	Facility		$1,798.06	$9,948.10	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.51 / $1,798.06 / $7,244.42	Professional		$1,623.51	$1,798.06	$7,244.42
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 $2,369.81 / $3,387.29 / $6,381.31	Professional		$2,369.81	$3,387.29	$6,381.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,389.16 / $2,137.42 / $4,622.45	Professional		$1,389.16	$2,137.42	$4,622.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,774.90 / $2,205.42 / $5,358.22	Professional		$1,774.90	$2,205.42	$5,358.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,599.03 / $1,863.05 / $2,421.96	Professional		$1,599.03	$1,863.05	$2,421.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,671.29 / $2,133.26 / $4,533.18	Professional		$1,671.29	$2,133.26	$4,533.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $42,956.16 / $53,079.52	Facility		$55.00	$42,956.16	$53,079.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,608.00 / $23,608.00 / $23,608.00	Professional		$23,608.00	$23,608.00	$23,608.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,777.72 / $2,388.73 / $3,804.27	Facility		$1,777.72	$2,388.73	$3,804.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,777.72 / $2,205.42 / $5,072.97	Professional		$1,777.72	$2,205.42	$5,072.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,698.93 / $5,698.93 / $5,698.93	Professional		$5,698.93	$5,698.93	$5,698.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,599.03 / $2,063.83 / $3,024.75	Professional		$1,599.03	$2,063.83	$3,024.75
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 $1,510.91 / $2,111.13 / $5,032.77	Professional		$1,510.91	$2,111.13	$5,032.77