Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.59 / $9,665.00 / $21,960.90	Facility		$1,096.59	$9,665.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $984.30 / $1,096.59 / $5,667.19	Professional		$984.30	$1,096.59	$5,667.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,209.94 / $6,363.00 / $16,635.00	Facility		$1,209.94	$6,363.00	$16,635.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,192.97 / $1,886.10 / $3,636.40	Professional		$1,192.97	$1,886.10	$3,636.40
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 $750.56 / $1,154.09 / $2,571.57	Professional		$750.56	$1,154.09	$2,571.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,056.93 / $1,327.14 / $3,320.68	Professional		$1,056.93	$1,327.14	$3,320.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,218.50 / $1,340.35 / $1,584.05	Professional		$1,218.50	$1,340.35	$1,584.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,079.06 / $1,354.55 / $2,530.40	Professional		$1,079.06	$1,354.55	$2,530.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,886.56 / $20,608.48	Facility		$55.00	$16,886.56	$20,608.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,007.12 / $8,080.40 / $9,745.58	Professional		$8,007.12	$8,080.40	$9,745.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,128.79 / $1,402.78 / $1,949.60	Facility		$1,128.79	$1,402.78	$1,949.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,066.36 / $1,326.34 / $3,053.40	Professional		$1,066.36	$1,326.34	$3,053.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,516.40 / $3,516.40 / $3,516.40	Professional		$3,516.40	$3,516.40	$3,516.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $982.06 / $1,116.52 / $1,350.34	Professional		$982.06	$1,116.52	$1,350.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.59 / $1,312.82 / $3,108.76	Professional		$928.59	$1,312.82	$3,108.76