Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,383.36 / $9,639.00 / $20,509.00	Facility		$1,383.36	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,249.01 / $1,383.36 / $7,095.75	Professional		$1,249.01	$1,383.36	$7,095.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.83 / $2,541.17 / $4,709.12	Professional		$1,819.83	$2,541.17	$4,709.12
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 $1,047.64 / $1,608.95 / $3,522.96	Professional		$1,047.64	$1,608.95	$3,522.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.62 / $1,690.84 / $4,137.72	Professional		$1,370.62	$1,690.84	$4,137.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,198.43 / $1,448.91 / $1,883.58	Professional		$1,198.43	$1,448.91	$1,883.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.49 / $1,654.45 / $3,045.93	Professional		$1,295.49	$1,654.45	$3,045.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,206.42 / $41,079.22	Facility		$55.00	$33,206.42	$41,079.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,341.00 / $19,381.65 / $19,381.65	Professional		$15,341.00	$19,381.65	$19,381.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,378.71 / $1,824.11 / $2,648.25	Facility		$1,378.71	$1,824.11	$2,648.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,378.71 / $1,690.84 / $3,875.89	Professional		$1,378.71	$1,690.84	$3,875.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,402.79 / $4,402.79 / $4,402.79	Professional		$4,402.79	$4,402.79	$4,402.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,198.43 / $1,605.22 / $2,266.98	Professional		$1,198.43	$1,605.22	$2,266.98
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 $1,160.34 / $1,625.48 / $3,483.75	Professional		$1,160.34	$1,625.48	$3,483.75