Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,448.38 / $9,639.00 / $20,509.00	Facility		$1,448.38	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.91 / $1,448.38 / $7,438.33	Professional		$1,308.91	$1,448.38	$7,438.33
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 $1,654.66 / $2,517.88 / $4,854.47	Professional		$1,654.66	$2,517.88	$4,854.47
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 $1,083.29 / $1,665.03 / $3,645.75	Professional		$1,083.29	$1,665.03	$3,645.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,453.66 / $1,782.86 / $4,403.66	Professional		$1,453.66	$1,782.86	$4,403.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,346.61 / $1,514.61 / $2,019.92	Professional		$1,346.61	$1,514.61	$2,019.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.18 / $1,693.98 / $3,169.06	Professional		$1,355.18	$1,693.98	$3,169.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,309.60 / $26,381.12	Facility		$55.00	$21,309.60	$26,381.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,131.36 / $10,365.28 / $12,255.68	Professional		$10,131.36	$10,365.28	$12,255.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,440.48 / $1,899.24 / $2,532.34	Facility		$1,440.48	$1,899.24	$2,532.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,444.63 / $1,767.23 / $4,057.11	Professional		$1,444.63	$1,767.23	$4,057.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,615.34 / $4,615.34 / $4,615.34	Professional		$4,615.34	$4,615.34	$4,615.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,346.61 / $1,698.18 / $2,547.27	Professional		$1,346.61	$1,698.18	$2,547.27
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 $1,216.94 / $1,716.99 / $5,147.97	Professional		$1,216.94	$1,716.99	$5,147.97