Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.39 / $9,639.00 / $20,509.00	Facility		$1,405.39	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,266.58 / $1,399.91 / $5,537.77	Professional		$1,266.58	$1,399.91	$5,537.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,478.00 / $24,456.00	Facility		$3,846.00	$12,478.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,844.59 / $2,580.85 / $4,770.35	Professional		$1,844.59	$2,580.85	$4,770.35
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 $1,075.29 / $1,652.33 / $3,617.94	Professional		$1,075.29	$1,652.33	$3,617.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,388.39 / $1,719.83 / $4,191.39	Professional		$1,388.39	$1,719.83	$4,191.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,061.43 / $1,338.54 / $1,915.38	Professional		$1,061.43	$1,338.54	$1,915.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,315.04 / $1,679.89 / $3,569.77	Professional		$1,315.04	$1,679.89	$3,569.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,658.04 / $41,630.42	Facility		$55.00	$33,658.04	$41,630.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,108.00 / $16,108.00 / $16,108.00	Professional		$16,108.00	$16,108.00	$16,108.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,399.91 / $1,855.01 / $2,952.39	Facility		$1,399.91	$1,855.01	$2,952.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,399.91 / $1,719.72 / $3,960.04	Professional		$1,399.91	$1,719.72	$3,960.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,458.88 / $4,458.88 / $4,458.88	Professional		$4,458.88	$4,458.88	$4,458.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,061.43 / $1,486.00 / $2,007.82	Professional		$1,061.43	$1,486.00	$2,007.82
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 $1,174.21 / $1,656.51 / $4,967.18	Professional		$1,174.21	$1,656.51	$4,967.18