Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.85 / $9,639.00 / $20,509.00	Facility		$1,542.85	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.10 / $1,542.85 / $7,841.16	Professional		$1,395.10	$1,542.85	$7,841.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,001.00 / $23,933.00	Facility		$3,738.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,230.46 / $2,793.49 / $5,198.63	Professional		$2,230.46	$2,793.49	$5,198.63
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 $1,031.94 / $1,588.76 / $3,540.08	Professional		$1,031.94	$1,588.76	$3,540.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.02 / $1,882.81 / $4,579.70	Professional		$1,517.02	$1,882.81	$4,579.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.25 / $1,578.26 / $1,990.88	Professional		$1,327.25	$1,578.26	$1,990.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,420.43 / $1,812.10 / $3,332.88	Professional		$1,420.43	$1,812.10	$3,332.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,604.10 / $45,201.52	Facility		$55.00	$36,604.10	$45,201.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,938.86 / $13,938.86 / $13,938.86	Professional		$13,938.86	$13,938.86	$13,938.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,489.65 / $1,919.81 / $2,542.80	Facility		$1,489.65	$1,919.81	$2,542.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,510.08 / $1,881.04 / $4,261.35	Professional		$1,510.08	$1,881.04	$4,261.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,865.30 / $4,865.30 / $4,865.30	Professional		$4,865.30	$4,865.30	$4,865.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,327.25 / $1,725.42 / $2,256.32	Professional		$1,327.25	$1,725.42	$2,256.32
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 $1,291.67 / $1,822.46 / $4,115.72	Professional		$1,291.67	$1,822.46	$4,115.72