Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,360.21 / $9,639.00 / $20,509.00	Facility		$1,360.21	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,244.02 / $1,360.21 / $6,671.26	Professional		$1,244.02	$1,360.21	$6,671.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,340.50 / $2,386.32 / $4,504.38	Professional		$1,340.50	$2,386.32	$4,504.38
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 $1,062.75 / $1,633.12 / $3,495.69	Professional		$1,062.75	$1,633.12	$3,495.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,361.29 / $1,706.17 / $4,218.34	Professional		$1,361.29	$1,706.17	$4,218.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,302.94 / $1,758.97	Professional		$1,191.35	$1,302.94	$1,758.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,172.65 / $1,520.02 / $2,791.73	Professional		$1,172.65	$1,520.02	$2,791.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,316.32 / $23,748.80	Facility		$55.00	$19,316.32	$23,748.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,574.00 / $10,574.00 / $11,129.18	Professional		$10,574.00	$10,574.00	$11,129.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,268.97 / $1,718.99 / $2,475.00	Facility		$1,268.97	$1,718.99	$2,475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,345.73 / $1,706.17 / $3,958.48	Professional		$1,345.73	$1,706.17	$3,958.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,139.38 / $4,139.38 / $4,139.38	Professional		$4,139.38	$4,139.38	$4,139.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,253.60	Professional		$1,191.35	$1,502.40	$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 $1,114.18 / $1,643.04 / $4,031.48	Professional		$1,114.18	$1,643.04	$4,031.48