Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,693.63 / $9,976.18 / $21,960.90	Facility		$1,693.63	$9,976.18	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,528.16 / $1,881.40 / $6,641.80	Professional		$1,528.16	$1,881.40	$6,641.80
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 $2,344.69 / $3,117.87 / $5,982.84	Professional		$2,344.69	$3,117.87	$5,982.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,282.64 / $1,966.86 / $4,382.56	Professional		$1,282.64	$1,966.86	$4,382.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,748.51 / $2,152.78 / $5,401.70	Professional		$1,748.51	$2,152.78	$5,401.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.34 / $2,039.77 / $2,410.64	Professional		$1,854.34	$2,039.77	$2,410.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,668.91 / $2,133.16 / $4,532.96	Professional		$1,668.91	$2,133.16	$4,532.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $43,182.88 / $53,330.16	Facility		$55.00	$43,182.88	$53,330.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,307.00 / $21,307.00 / $21,307.00	Professional		$21,307.00	$21,307.00	$21,307.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,777.63 / $2,317.92 / $3,526.68	Facility		$1,777.63	$2,317.92	$3,526.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,759.34 / $2,152.78 / $4,997.22	Professional		$1,759.34	$2,152.78	$4,997.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,741.93 / $5,741.93 / $5,741.93	Professional		$5,741.93	$5,741.93	$5,741.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,493.71 / $1,724.48 / $2,053.85	Professional		$1,493.71	$1,724.48	$2,053.85
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 $1,519.22 / $2,143.31 / $4,553.05	Professional		$1,519.22	$2,143.31	$4,553.05