Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,460.18 / $9,639.00 / $20,509.00	Facility		$1,460.18	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.91 / $1,460.18 / $7,323.64	Professional		$1,317.91	$1,460.18	$7,323.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,719.00 / $12,081.00 / $26,868.00	Facility		$4,719.00	$12,081.00	$26,868.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,869.02 / $2,596.65 / $4,854.55	Professional		$1,869.02	$2,596.65	$4,854.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,051.29 / $1,617.98 / $3,588.68	Professional		$1,051.29	$1,617.98	$3,588.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,430.64 / $1,758.53 / $4,318.95	Professional		$1,430.64	$1,758.53	$4,318.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,487.36 / $1,769.91 / $2,232.00	Professional		$1,487.36	$1,769.91	$2,232.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,332.28 / $1,665.35 / $3,114.78	Professional		$1,332.28	$1,665.35	$3,114.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,516.72 / $34,071.66	Facility		$55.00	$27,516.72	$34,071.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,425.64 / $11,425.64 / $12,055.50	Professional		$11,425.64	$11,425.64	$12,055.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,415.81 / $1,893.27 / $3,015.20	Facility		$1,415.81	$1,893.27	$3,015.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,430.64 / $1,754.65 / $4,042.80	Professional		$1,430.64	$1,754.65	$4,042.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,544.18 / $4,544.18 / $4,544.18	Professional		$4,544.18	$4,544.18	$4,544.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,375.18 / $2,232.00 / $3,348.00	Professional		$1,375.18	$2,232.00	$3,348.00
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 $1,204.08 / $1,699.40 / $3,845.14	Professional		$1,204.08	$1,699.40	$3,845.14