Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.28 / $9,639.00 / $20,509.00	Facility		$1,332.28	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,208.52 / $1,332.28 / $6,448.80	Professional		$1,208.52	$1,332.28	$6,448.80
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 $1,854.21 / $2,416.33 / $4,481.18	Professional		$1,854.21	$2,416.33	$4,481.18
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 $928.77 / $1,415.84 / $3,154.77	Professional		$928.77	$1,415.84	$3,154.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.74 / $1,578.96 / $3,990.73	Professional		$1,284.74	$1,578.96	$3,990.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,145.19 / $1,308.44 / $1,717.79	Professional		$1,145.19	$1,308.44	$1,717.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.40 / $1,518.91 / $2,754.63	Professional		$1,172.40	$1,518.91	$2,754.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,523.04 / $22,909.76	Facility		$55.00	$18,523.04	$22,909.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,682.03 / $15,065.15 / $15,065.15	Professional		$10,682.03	$15,065.15	$15,065.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,265.76 / $1,708.71 / $2,475.00	Facility		$1,265.76	$1,708.71	$2,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,284.74 / $1,571.25 / $3,492.44	Professional		$1,284.74	$1,571.25	$3,492.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,001.34 / $4,001.34 / $4,001.34	Professional		$4,001.34	$4,001.34	$4,001.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,145.19 / $1,449.51 / $2,166.27	Professional		$1,145.19	$1,449.51	$2,166.27
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 $1,055.26 / $1,501.20 / $3,283.12	Professional		$1,055.26	$1,501.20	$3,283.12