Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,729.53 / $9,639.00 / $20,509.00	Facility		$1,729.53	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,585.94 / $1,729.53 / $8,518.09	Professional		$1,585.94	$1,729.53	$8,518.09
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 $2,319.54 / $3,100.55 / $5,625.10	Professional		$2,319.54	$3,100.55	$5,625.10
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 $1,367.47 / $2,100.48 / $4,480.13	Professional		$1,367.47	$2,100.48	$4,480.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,708.35 / $2,121.75 / $5,087.67	Professional		$1,708.35	$2,121.75	$5,087.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,149.59	Professional		$1,191.35	$1,502.40	$2,149.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,488.18 / $1,935.70 / $3,549.80	Professional		$1,488.18	$1,935.70	$3,549.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,630.88 / $30,271.52	Facility		$55.00	$24,630.88	$30,271.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,573.76 / $11,870.56 / $14,187.68	Professional		$11,573.76	$11,870.56	$14,187.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,641.92 / $2,243.27 / $2,887.50	Facility		$1,641.92	$2,243.27	$2,887.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,708.35 / $2,121.84 / $4,782.81	Professional		$1,708.35	$2,121.84	$4,782.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,285.31 / $5,285.31 / $5,285.31	Professional		$5,285.31	$5,285.31	$5,285.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,667.90 / $2,253.60	Professional		$1,191.35	$1,667.90	$2,253.60
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 $1,424.49 / $2,013.92 / $4,399.00	Professional		$1,424.49	$2,013.92	$4,399.00