Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,521.51 / $9,639.00 / $20,509.00	Facility		$1,521.51	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.17 / $1,521.51 / $7,780.00	Professional		$1,373.17	$1,521.51	$7,780.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,002.55 / $2,862.36 / $5,189.67	Professional		$2,002.55	$2,862.36	$5,189.67
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 $1,177.64 / $1,812.29 / $3,920.85	Professional		$1,177.64	$1,812.29	$3,920.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,517.92 / $1,868.11 / $4,582.43	Professional		$1,517.92	$1,868.11	$4,582.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,589.53 / $1,861.50 / $2,347.50	Professional		$1,589.53	$1,861.50	$2,347.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,421.25 / $1,815.08 / $3,341.63	Professional		$1,421.25	$1,815.08	$3,341.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,432.76 / $45,044.74	Facility		$55.00	$36,432.76	$45,044.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,665.00 / $18,665.00 / $18,665.00	Professional		$18,665.00	$18,665.00	$18,665.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,512.57 / $2,005.74 / $3,249.41	Facility		$1,512.57	$2,005.74	$3,249.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,517.92 / $1,865.72 / $4,273.97	Professional		$1,517.92	$1,865.72	$4,273.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,827.35 / $4,827.35 / $4,827.35	Professional		$4,827.35	$4,827.35	$4,827.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,467.76 / $2,347.50 / $3,521.25	Professional		$1,467.76	$2,347.50	$3,521.25
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 $1,277.75 / $1,821.63 / $3,961.96	Professional		$1,277.75	$1,821.63	$3,961.96