Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,493.70 / $9,639.00 / $20,509.00	Facility		$1,493.70	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,357.94 / $1,493.70 / $7,367.81	Professional		$1,357.94	$1,493.70	$7,367.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,981.00 / $18,903.00	Facility		$4,043.00	$8,981.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,963.58 / $2,708.72 / $4,874.25	Professional		$1,963.58	$2,708.72	$4,874.25
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 $1,146.81 / $1,762.38 / $3,794.23	Professional		$1,146.81	$1,762.38	$3,794.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,455.60 / $1,802.33 / $4,394.29	Professional		$1,455.60	$1,802.33	$4,394.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,438.67 / $1,489.20 / $1,942.20	Professional		$1,438.67	$1,489.20	$1,942.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,294.80 / $1,663.22 / $3,064.60	Professional		$1,294.80	$1,663.22	$3,064.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,060.80 / $26,098.40	Facility		$55.00	$21,060.80	$26,098.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,923.12 / $10,231.20 / $12,132.23	Professional		$9,923.12	$10,231.20	$12,132.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,409.02 / $1,921.97 / $2,520.00	Facility		$1,409.02	$1,921.97	$2,520.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,455.60 / $1,796.21 / $4,111.93	Professional		$1,455.60	$1,796.21	$4,111.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,571.60 / $4,571.60 / $4,571.60	Professional		$4,571.60	$4,571.60	$4,571.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,350.82 / $1,878.00 / $2,817.00	Professional		$1,350.82	$1,878.00	$2,817.00
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 $1,224.67 / $1,773.66 / $4,027.68	Professional		$1,224.67	$1,773.66	$4,027.68