Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.06 / $9,639.00 / $20,509.00	Facility		$1,268.06	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.22 / $1,337.48 / $4,691.14	Professional		$1,138.22	$1,337.48	$4,691.14
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 $1,584.79 / $2,282.81 / $4,204.75	Professional		$1,584.79	$2,282.81	$4,204.75
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 $929.23 / $1,424.22 / $3,118.47	Professional		$929.23	$1,424.22	$3,118.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.83 / $1,520.74 / $3,569.66	Professional		$1,196.83	$1,520.74	$3,569.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,300.76 / $1,489.20 / $1,878.00	Professional		$1,300.76	$1,489.20	$1,878.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,160.06 / $1,505.66 / $3,149.56	Professional		$1,160.06	$1,505.66	$3,149.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,675.10 / $36,684.44	Facility		$55.00	$29,675.10	$36,684.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,932.00 / $13,448.23 / $13,448.23	Professional		$11,932.00	$13,448.23	$13,448.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,235.11 / $1,637.71 / $2,475.00	Facility		$1,235.11	$1,637.71	$2,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,235.11 / $1,510.90 / $3,432.57	Professional		$1,235.11	$1,510.90	$3,432.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,929.67 / $3,929.67 / $3,929.67	Professional		$3,929.67	$3,929.67	$3,929.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,198.64 / $1,878.00 / $2,817.00	Professional		$1,198.64	$1,878.00	$2,817.00
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 $1,038.79 / $1,463.79 / $3,545.58	Professional		$1,038.79	$1,463.79	$3,545.58