Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.28 / $9,639.00 / $20,509.00	Facility		$1,388.28	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,255.54 / $1,388.28 / $7,049.19	Professional		$1,255.54	$1,388.28	$7,049.19
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 $1,809.51 / $2,473.11 / $4,663.42	Professional		$1,809.51	$2,473.11	$4,663.42
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 $998.07 / $1,534.70 / $3,419.62	Professional		$998.07	$1,534.70	$3,419.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,373.21 / $1,692.63 / $4,145.56	Professional		$1,373.21	$1,692.63	$4,145.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,358.15 / $1,426.75 / $1,926.11	Professional		$1,358.15	$1,426.75	$1,926.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,280.05 / $1,611.58 / $3,028.00	Professional		$1,280.05	$1,611.58	$3,028.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,536.02 / $32,980.50	Facility		$55.00	$26,536.02	$32,980.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,425.64 / $11,425.64 / $11,646.75	Professional		$11,425.64	$11,425.64	$11,646.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,360.93 / $1,811.16 / $2,884.45	Facility		$1,360.93	$1,811.16	$2,884.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,372.63 / $1,690.42 / $3,863.95	Professional		$1,372.63	$1,690.42	$3,863.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,373.89 / $4,373.89 / $4,373.89	Professional		$4,373.89	$4,373.89	$4,373.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,320.96 / $1,712.74 / $2,569.10	Professional		$1,320.96	$1,712.74	$2,569.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,158.84 / $1,669.36 / $3,461.93	Professional		$1,158.84	$1,669.36	$3,461.93