Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.29 / $9,639.00 / $20,509.00	Facility		$1,355.29	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,217.94 / $1,355.29 / $6,807.46	Professional		$1,217.94	$1,355.29	$6,807.46
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 $1,789.46 / $2,460.00 / $4,661.60	Professional		$1,789.46	$2,460.00	$4,661.60
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 $1,061.56 / $1,636.20 / $3,522.57	Professional		$1,061.56	$1,636.20	$3,522.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,365.62 / $1,665.97 / $4,210.64	Professional		$1,365.62	$1,665.97	$4,210.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,377.69 / $1,859.88	Professional		$1,265.08	$1,377.69	$1,859.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.73 / $1,599.84 / $2,902.50	Professional		$1,235.73	$1,599.84	$2,902.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,540.32 / $24,166.24	Facility		$55.00	$19,540.32	$24,166.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,886.00 / $9,886.00 / $11,268.08	Professional		$9,886.00	$9,886.00	$11,268.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,314.39 / $1,800.71 / $2,511.61	Facility		$1,314.39	$1,800.71	$2,511.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,359.64 / $1,665.97 / $3,759.46	Professional		$1,359.64	$1,665.97	$3,759.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,223.89 / $4,223.89 / $4,223.89	Professional		$4,223.89	$4,223.89	$4,223.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,595.36 / $2,393.04	Professional		$1,265.08	$1,595.36	$2,393.04
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 $1,119.70 / $1,585.83 / $3,807.84	Professional		$1,119.70	$1,585.83	$3,807.84