Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.70 / $9,639.00 / $20,509.00	Facility		$1,536.70	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.05 / $1,536.70 / $7,892.90	Professional		$1,390.05	$1,536.70	$7,892.90
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 $2,022.75 / $2,891.22 / $5,236.35	Professional		$2,022.75	$2,891.22	$5,236.35
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 $1,193.79 / $1,834.92 / $3,975.44	Professional		$1,193.79	$1,834.92	$3,975.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,525.37 / $1,895.24 / $4,604.92	Professional		$1,525.37	$1,895.24	$4,604.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,605.15 / $1,861.50 / $2,347.50	Professional		$1,605.15	$1,861.50	$2,347.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,438.36 / $1,836.35 / $3,379.58	Professional		$1,438.36	$1,836.35	$3,379.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,941.58 / $45,642.48	Facility		$55.00	$36,941.58	$45,642.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,046.00 / $17,046.00 / $17,046.00	Professional		$17,046.00	$17,046.00	$17,046.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,530.29 / $2,032.43 / $3,213.30	Facility		$1,530.29	$2,032.43	$3,213.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,530.29 / $1,880.18 / $4,333.26	Professional		$1,530.29	$1,880.18	$4,333.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,897.41 / $4,897.41 / $4,897.41	Professional		$4,897.41	$4,897.41	$4,897.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,484.79 / $2,347.50 / $3,521.25	Professional		$1,484.79	$2,347.50	$3,521.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,297.47 / $1,834.34 / $3,876.65	Professional		$1,297.47	$1,834.34	$3,876.65