Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,389.54 / $9,639.00 / $20,509.00	Facility		$1,389.54	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.19 / $1,389.54 / $7,144.91	Professional		$1,255.19	$1,389.54	$7,144.91
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 $1,910.79 / $2,662.65 / $4,923.91	Professional		$1,910.79	$2,662.65	$4,923.91
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 $1,047.33 / $1,602.51 / $3,508.86	Professional		$1,047.33	$1,602.51	$3,508.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.13 / $1,692.40 / $4,166.47	Professional		$1,380.13	$1,692.40	$4,166.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,459.07 / $1,969.74	Professional		$1,399.85	$1,459.07	$1,969.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.75 / $1,666.26 / $3,067.57	Professional		$1,304.75	$1,666.26	$3,067.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,583.68 / $25,451.84	Facility		$55.00	$20,583.68	$25,451.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,767.00 / $16,901.89 / $16,901.89	Professional		$15,767.00	$16,901.89	$16,901.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,388.55 / $1,836.89 / $2,878.23	Facility		$1,388.55	$1,836.89	$2,878.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,388.55 / $1,692.40 / $3,940.56	Professional		$1,388.55	$1,692.40	$3,940.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,433.28 / $4,433.28 / $4,433.28	Professional		$4,433.28	$4,433.28	$4,433.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,347.41 / $1,765.32 / $2,647.98	Professional		$1,347.41	$1,765.32	$2,647.98
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 $1,173.64 / $1,659.27 / $3,917.18	Professional		$1,173.64	$1,659.27	$3,917.18