Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,795.97 / $9,952.78 / $22,330.11	Facility		$1,795.97	$9,952.78	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.74 / $1,795.97 / $9,181.73	Professional		$1,623.74	$1,795.97	$9,181.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $29,600.00	Facility		$4,204.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,371.26 / $3,287.56 / $6,091.15	Professional		$2,371.26	$3,287.56	$6,091.15
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 $1,403.71 / $2,160.90 / $4,652.20	Professional		$1,403.71	$2,160.90	$4,652.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,791.89 / $2,204.71 / $5,409.51	Professional		$1,791.89	$2,204.71	$5,409.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.93 / $1,866.38 / $2,519.61	Professional		$1,750.93	$1,866.38	$2,519.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,672.72 / $2,135.40 / $3,929.95	Professional		$1,672.72	$2,135.40	$3,929.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $42,959.54 / $53,096.42	Facility		$55.00	$42,959.54	$53,096.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,307.00 / $21,307.00 / $21,307.00	Professional		$21,307.00	$21,307.00	$21,307.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,779.50 / $2,374.56 / $3,781.71	Facility		$1,779.50	$2,374.56	$3,781.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,791.89 / $2,204.71 / $5,069.08	Professional		$1,791.89	$2,204.71	$5,069.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,697.09 / $5,697.09 / $5,697.09	Professional		$5,697.09	$5,697.09	$5,697.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,726.64 / $2,208.06 / $3,312.09	Professional		$1,726.64	$2,208.06	$3,312.09
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 $1,503.06 / $2,118.98 / $4,511.87	Professional		$1,503.06	$2,118.98	$4,511.87