Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,469.26 / $9,639.00 / $20,509.00	Facility		$1,469.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,322.55 / $1,469.26 / $7,429.11	Professional		$1,322.55	$1,469.26	$7,429.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,001.76 / $2,744.26 / $4,907.59	Professional		$2,001.76	$2,744.26	$4,907.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,083.96 / $1,669.18 / $3,691.62	Professional		$1,083.96	$1,669.18	$3,691.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,493.66 / $1,851.96 / $4,693.99	Professional		$1,493.66	$1,851.96	$4,693.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.90 / $1,447.63 / $1,737.16	Professional		$1,151.90	$1,447.63	$1,737.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.86 / $1,690.01 / $3,103.23	Professional		$1,302.86	$1,690.01	$3,103.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,083.58 / $14,864.40	Facility		$55.00	$12,083.58	$14,864.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,098.87 / $10,360.24 / $12,375.00	Professional		$10,098.87	$10,360.24	$12,375.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,389.79 / $1,763.20 / $2,515.59	Facility		$1,389.79	$1,763.20	$2,515.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.88 / $1,868.65 / $4,481.20	Professional		$1,513.88	$1,868.65	$4,481.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,609.62 / $4,609.62 / $4,609.62	Professional		$4,609.62	$4,609.62	$4,609.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,151.90 / $1,497.47 / $1,958.22	Professional		$1,151.90	$1,497.47	$1,958.22
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 $1,241.20 / $1,785.26 / $4,055.35	Professional		$1,241.20	$1,785.26	$4,055.35