Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.88 / $9,665.00 / $21,960.90	Facility		$1,236.88	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,104.73 / $1,236.88 / $6,141.04	Professional		$1,104.73	$1,236.88	$6,141.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,393.00 / $22,145.00	Facility		$3,612.00	$11,393.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.42 / $2,122.42 / $4,079.10	Professional		$1,548.42	$2,122.42	$4,079.10
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 $890.72 / $1,365.05 / $3,015.10	Professional		$890.72	$1,365.05	$3,015.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,197.99 / $1,474.60 / $3,616.61	Professional		$1,197.99	$1,474.60	$3,616.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,269.09 / $1,649.83	Professional		$1,011.91	$1,269.09	$1,649.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.33 / $1,465.89 / $3,064.90	Professional		$1,128.33	$1,465.89	$3,064.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,715.52 / $21,924.48	Facility		$55.00	$17,715.52	$21,924.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,197.06 / $10,197.06 / $10,221.53	Professional		$10,197.06	$10,197.06	$10,221.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,201.92 / $1,570.00 / $2,274.51	Facility		$1,201.92	$1,570.00	$2,274.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,201.92 / $1,474.60 / $3,329.84	Professional		$1,201.92	$1,474.60	$3,329.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,810.40 / $3,810.40 / $3,810.40	Professional		$3,810.40	$3,810.40	$3,810.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,406.24 / $1,914.15	Professional		$1,011.91	$1,406.24	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $5,159.00 / $20,279.00	Facility		$1,836.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,001.56 / $1,422.14 / $3,130.12	Professional		$1,001.56	$1,422.14	$3,130.12