Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.50 / $9,639.00 / $20,509.00	Facility		$1,502.50	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,369.42 / $1,502.50 / $7,978.06	Professional		$1,369.42	$1,502.50	$7,978.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $9,684.00 / $20,676.56	Facility		$4,597.00	$9,684.00	$20,676.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,840.48 / $2,717.90 / $5,189.81	Professional		$1,840.48	$2,717.90	$5,189.81
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 $1,158.83 / $1,780.52 / $3,907.24	Professional		$1,158.83	$1,780.52	$3,907.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,533.90 / $1,917.23 / $4,735.56	Professional		$1,533.90	$1,917.23	$4,735.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,422.93 / $1,610.20 / $2,134.40	Professional		$1,422.93	$1,610.20	$2,134.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,446.34 / $1,807.93 / $3,379.97	Professional		$1,446.34	$1,807.93	$3,379.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,812.80 / $28,216.32	Facility		$55.00	$22,812.80	$28,216.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,838.16 / $11,088.88 / $13,116.53	Professional		$10,838.16	$11,088.88	$13,116.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,536.35 / $2,002.29 / $2,700.00	Facility		$1,536.35	$2,002.29	$2,700.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,533.90 / $1,915.65 / $4,357.63	Professional		$1,533.90	$1,915.65	$4,357.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,950.22 / $4,950.22 / $4,950.22	Professional		$4,950.22	$4,950.22	$4,950.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,422.93 / $1,794.43 / $2,691.64	Professional		$1,422.93	$1,794.43	$2,691.64
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 $1,278.72 / $1,856.89 / $5,108.39	Professional		$1,278.72	$1,856.89	$5,108.39