Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,363.21 / $9,639.00 / $20,509.00	Facility		$1,363.21	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,223.50 / $1,363.21 / $6,818.12	Professional		$1,223.50	$1,363.21	$6,818.12
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 $1,791.96 / $2,528.17 / $4,732.31	Professional		$1,791.96	$2,528.17	$4,732.31
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 $1,023.95 / $1,575.70 / $3,438.26	Professional		$1,023.95	$1,575.70	$3,438.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,332.24 / $1,641.66 / $3,978.94	Professional		$1,332.24	$1,641.66	$3,978.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,401.95 / $1,892.63	Professional		$1,399.85	$1,401.95	$1,892.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.85 / $1,619.00 / $2,941.37	Professional		$1,249.85	$1,619.00	$2,941.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,966.48 / $39,518.96	Facility		$55.00	$31,966.48	$39,518.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,046.00 / $18,272.75 / $18,272.75	Professional		$17,046.00	$18,272.75	$18,272.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.85 / $1,778.60 / $2,864.31	Facility		$1,330.85	$1,778.60	$2,864.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,332.24 / $1,637.18 / $3,728.28	Professional		$1,332.24	$1,637.18	$3,728.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,230.53 / $4,230.53 / $4,230.53	Professional		$4,230.53	$4,230.53	$4,230.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,291.52 / $1,765.32 / $2,647.98	Professional		$1,291.52	$1,765.32	$2,647.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,142.00 / $18,709.00	Facility		$1,930.00	$6,142.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,118.24 / $1,594.06 / $3,817.24	Professional		$1,118.24	$1,594.06	$3,817.24