Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,547.39 / $9,639.00 / $20,509.00	Facility		$1,547.39	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,398.07 / $1,547.39 / $7,902.61	Professional		$1,398.07	$1,547.39	$7,902.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,697.00 / $22,145.00	Facility		$3,738.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,022.33 / $2,789.76 / $5,211.89	Professional		$2,022.33	$2,789.76	$5,211.89
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 $1,196.04 / $1,837.08 / $3,975.49	Professional		$1,196.04	$1,837.08	$3,975.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.63 / $1,897.49 / $4,611.72	Professional		$1,527.63	$1,897.49	$4,611.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,309.01 / $1,597.85 / $2,077.21	Professional		$1,309.01	$1,597.85	$2,077.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,434.65 / $1,802.51 / $3,394.52	Professional		$1,434.65	$1,802.51	$3,394.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,592.64 / $28,035.04	Facility		$55.00	$22,592.64	$28,035.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,752.72 / $11,016.64 / $12,977.40	Professional		$10,752.72	$11,016.64	$12,977.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,523.46 / $2,044.17 / $2,923.03	Facility		$1,523.46	$2,044.17	$2,923.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.77 / $1,897.49 / $4,358.28	Professional		$1,513.77	$1,897.49	$4,358.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,903.42 / $4,903.42 / $4,903.42	Professional		$4,903.42	$4,903.42	$4,903.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,309.01 / $1,770.47 / $2,476.14	Professional		$1,309.01	$1,770.47	$2,476.14
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 $1,298.05 / $1,857.27 / $4,019.44	Professional		$1,298.05	$1,857.27	$4,019.44