Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,742.29 / $9,639.00 / $20,509.00	Facility		$1,742.29	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,589.26 / $1,742.29 / $8,363.51	Professional		$1,589.26	$1,742.29	$8,363.51
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 $2,296.17 / $3,069.32 / $5,549.33	Professional		$2,296.17	$3,069.32	$5,549.33
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 $1,179.48 / $1,812.33 / $4,038.23	Professional		$1,179.48	$1,812.33	$4,038.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,687.51 / $2,083.25 / $5,262.91	Professional		$1,687.51	$2,083.25	$5,262.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,518.24 / $1,623.63 / $2,110.71	Professional		$1,518.24	$1,623.63	$2,110.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,461.27 / $1,900.01 / $3,484.87	Professional		$1,461.27	$1,900.01	$3,484.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,173.44 / $29,708.48	Facility		$55.00	$24,173.44	$29,708.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,656.09 / $16,656.09 / $16,656.09	Professional		$16,656.09	$16,656.09	$16,656.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.52 / $2,029.54 / $2,829.49	Facility		$1,584.52	$2,029.54	$2,829.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,685.00 / $2,082.31 / $4,695.18	Professional		$1,685.00	$2,082.31	$4,695.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,189.41 / $5,189.41 / $5,189.41	Professional		$5,189.41	$5,189.41	$5,189.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,470.37 / $1,797.11 / $2,581.01	Professional		$1,470.37	$1,797.11	$2,581.01
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 $1,398.39 / $1,977.02 / $5,338.09	Professional		$1,398.39	$1,977.02	$5,338.09