Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.49 / $9,639.00 / $20,509.00	Facility		$1,344.49	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.58 / $1,344.49 / $6,768.27	Professional		$1,207.58	$1,344.49	$6,768.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,734.96 / $2,393.34 / $4,471.29	Professional		$1,734.96	$2,393.34	$4,471.29
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 $1,025.05 / $1,578.47 / $3,417.90	Professional		$1,025.05	$1,578.47	$3,417.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,317.02 / $1,628.21 / $3,991.34	Professional		$1,317.02	$1,628.21	$3,991.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.46 / $1,310.84 / $1,744.46	Professional		$1,039.46	$1,310.84	$1,744.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.70 / $1,533.24 / $2,837.82	Professional		$1,207.70	$1,533.24	$2,837.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,317.91 / $23,844.32	Facility		$55.00	$19,317.91	$23,844.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,847.00 / $18,481.68 / $18,481.68	Professional		$11,847.00	$18,481.68	$18,481.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,293.72 / $1,767.19 / $2,454.05	Facility		$1,293.72	$1,767.19	$2,454.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,310.60 / $1,626.17 / $3,754.59	Professional		$1,310.60	$1,626.17	$3,754.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,199.59 / $4,199.59 / $4,199.59	Professional		$4,199.59	$4,199.59	$4,199.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,039.46 / $1,455.25 / $1,966.27	Professional		$1,039.46	$1,455.25	$1,966.27
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 $1,118.24 / $1,568.40 / $3,438.07	Professional		$1,118.24	$1,568.40	$3,438.07