Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.76 / $9,639.00 / $20,509.00	Facility		$1,405.76	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,274.58 / $1,405.76 / $5,598.19	Professional		$1,274.58	$1,405.76	$5,598.19
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 $1,852.21 / $2,612.66 / $4,813.70	Professional		$1,852.21	$2,612.66	$4,813.70
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 $1,114.48 / $1,716.00 / $3,694.38	Professional		$1,114.48	$1,716.00	$3,694.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.61 / $1,742.80 / $4,231.29	Professional		$1,412.61	$1,742.80	$4,231.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,247.58 / $1,466.65 / $1,906.65	Professional		$1,247.58	$1,466.65	$1,906.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.05 / $1,680.73 / $3,571.56	Professional		$1,317.05	$1,680.73	$3,571.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,845.12 / $25,783.52	Facility		$55.00	$20,845.12	$25,783.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,529.00 / $16,540.23 / $16,540.23	Professional		$12,529.00	$16,540.23	$16,540.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,400.61 / $1,863.69 / $2,679.93	Facility		$1,400.61	$1,863.69	$2,679.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.61 / $1,726.08 / $3,977.83	Professional		$1,412.61	$1,726.08	$3,977.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,503.52 / $4,503.52 / $4,503.52	Professional		$4,503.52	$4,503.52	$4,503.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,247.58 / $1,624.68 / $2,359.94	Professional		$1,247.58	$1,624.68	$2,359.94
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 $1,188.65 / $1,658.10 / $3,469.83	Professional		$1,188.65	$1,658.10	$3,469.83