Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,467.80 / $9,674.00 / $22,330.11	Facility		$1,467.80	$9,674.00	$22,330.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,290.92 / $1,423.42 / $6,697.50	Professional		$1,290.92	$1,423.42	$6,697.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,747.00 / $19,696.00	Facility		$3,537.00	$9,747.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,588.95 / $2,502.00 / $4,523.60	Professional		$1,588.95	$2,502.00	$4,523.60
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 $1,082.82 / $1,662.54 / $3,555.93	Professional		$1,082.82	$1,662.54	$3,555.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.52 / $1,668.27 / $3,998.97	Professional		$1,341.52	$1,668.27	$3,998.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,126.80 / $1,690.20	Professional		$893.52	$1,126.80	$1,690.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.47 / $1,525.08 / $2,800.12	Professional		$1,175.47	$1,525.08	$2,800.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,387.68 / $23,832.80	Facility		$55.00	$19,387.68	$23,832.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,110.95 / $9,344.48 / $11,170.80	Professional		$9,110.95	$9,344.48	$11,170.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,324.11 / $1,675.19 / $2,186.06	Facility		$1,324.11	$1,675.19	$2,186.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,341.52 / $1,670.65 / $3,757.51	Professional		$1,341.52	$1,670.65	$3,757.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,155.68 / $4,155.68 / $4,155.68	Professional		$4,155.68	$4,155.68	$4,155.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $893.52 / $1,250.93 / $1,690.20	Professional		$893.52	$1,250.93	$1,690.20
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 $1,155.28 / $1,655.74 / $4,047.37	Professional		$1,155.28	$1,655.74	$4,047.37