Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.65 / $9,639.00 / $20,509.00	Facility		$1,411.65	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.82 / $1,411.65 / $7,354.86	Professional		$1,279.82	$1,411.65	$7,354.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,216.00 / $21,514.00	Facility		$3,612.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,806.86 / $2,505.08 / $4,741.89	Professional		$1,806.86	$2,505.08	$4,741.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,008.94 / $1,549.34 / $3,452.24	Professional		$1,008.94	$1,549.34	$3,452.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,372.51 / $1,725.59 / $4,357.88	Professional		$1,372.51	$1,725.59	$4,357.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,257.26 / $1,493.54 / $1,941.60	Professional		$1,257.26	$1,493.54	$1,941.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,338.00 / $1,681.38 / $3,128.20	Professional		$1,338.00	$1,681.38	$3,128.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,060.00 / $26,069.60	Facility		$55.00	$21,060.00	$26,069.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,010.48 / $10,243.28 / $12,111.08	Professional		$10,010.48	$10,243.28	$12,111.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,403.31 / $1,866.93 / $2,475.00	Facility		$1,403.31	$1,866.93	$2,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,363.40 / $1,724.22 / $3,990.91	Professional		$1,363.40	$1,724.22	$3,990.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,563.56 / $4,563.56 / $4,563.56	Professional		$4,563.56	$4,563.56	$4,563.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,257.26 / $1,654.88 / $2,378.25	Professional		$1,257.26	$1,654.88	$2,378.25
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 $1,209.31 / $1,718.89 / $3,861.48	Professional		$1,209.31	$1,718.89	$3,861.48