Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.84 / $9,639.00 / $20,509.00	Facility		$1,792.84	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,617.62 / $1,792.84 / $9,104.58	Professional		$1,617.62	$1,792.84	$9,104.58
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 $2,123.55 / $3,254.80 / $6,011.98	Professional		$2,123.55	$3,254.80	$6,011.98
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 $1,330.57 / $2,044.96 / $4,529.80	Professional		$1,330.57	$2,044.96	$4,529.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,801.93 / $2,259.69 / $5,746.54	Professional		$1,801.93	$2,259.69	$5,746.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,413.62 / $1,764.85 / $2,120.42	Professional		$1,413.62	$1,764.85	$2,120.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,588.37 / $2,067.56 / $3,790.31	Professional		$1,588.37	$2,067.56	$3,790.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,316.32 / $32,352.96	Facility		$55.00	$26,316.32	$32,352.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,364.32 / $12,685.52 / $15,157.95	Professional		$12,364.32	$12,685.52	$15,157.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.40 / $2,154.51 / $3,081.82	Facility		$1,698.40	$2,154.51	$3,081.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,817.55 / $2,274.62 / $5,439.82	Professional		$1,817.55	$2,274.62	$5,439.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,649.23 / $5,649.23 / $5,649.23	Professional		$5,649.23	$5,649.23	$5,649.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,413.62 / $1,837.71 / $2,403.16	Professional		$1,413.62	$1,837.71	$2,403.16
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 $1,516.34 / $2,165.59 / $4,805.21	Professional		$1,516.34	$2,165.59	$4,805.21