Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,539.45 / $9,639.00 / $20,509.00	Facility		$1,539.45	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.75 / $1,539.45 / $7,897.68	Professional		$1,389.75	$1,539.45	$7,897.68
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 $2,029.22 / $2,900.47 / $5,286.15	Professional		$2,029.22	$2,900.47	$5,286.15
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 $1,188.61 / $1,827.46 / $3,978.76	Professional		$1,188.61	$1,827.46	$3,978.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.24 / $1,896.38 / $4,649.81	Professional		$1,540.24	$1,896.38	$4,649.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,606.31 / $1,616.90 / $2,168.52	Professional		$1,606.31	$1,616.90	$2,168.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.37 / $1,837.62 / $3,381.96	Professional		$1,439.37	$1,837.62	$3,381.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,965.24 / $45,673.68	Facility		$55.00	$36,965.24	$45,673.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,029.00 / $20,029.00 / $20,029.00	Professional		$20,029.00	$20,029.00	$20,029.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,531.35 / $2,037.62 / $3,245.10	Facility		$1,531.35	$2,037.62	$3,245.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,540.24 / $1,893.78 / $4,339.80	Professional		$1,540.24	$1,893.78	$4,339.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,900.35 / $4,900.35 / $4,900.35	Professional		$4,900.35	$4,900.35	$4,900.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,485.83 / $2,039.04 / $3,058.56	Professional		$1,485.83	$2,039.04	$3,058.56
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 $1,298.33 / $1,826.99 / $3,879.37	Professional		$1,298.33	$1,826.99	$3,879.37