Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,545.11 / $9,639.00 / $20,509.00	Facility		$1,545.11	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,314.84 / $1,545.11 / $8,113.96	Professional		$1,314.84	$1,545.11	$8,113.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $11,504.00 / $22,145.00	Facility		$4,667.00	$11,504.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,561.35 / $2,094.48 / $4,392.83	Professional		$1,561.35	$2,094.48	$4,392.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,008.12 / $1,550.41 / $3,813.28	Professional		$1,008.12	$1,550.41	$3,813.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,411.05 / $1,948.42 / $5,353.76	Professional		$1,411.05	$1,948.42	$5,353.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,027.33	Professional		$1,011.91	$1,531.32	$2,027.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,522.89 / $1,962.83 / $3,514.96	Professional		$1,522.89	$1,962.83	$3,514.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,117.54 / $23,594.74	Facility		$55.00	$19,117.54	$23,594.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,117.12 / $11,364.80 / $13,603.43	Professional		$11,117.12	$11,364.80	$13,603.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,570.26 / $1,968.24 / $2,636.22	Facility		$1,570.26	$1,968.24	$2,636.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,416.28 / $1,958.47 / $4,281.10	Professional		$1,416.28	$1,958.47	$4,281.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,034.58 / $5,034.58 / $5,034.58	Professional		$5,034.58	$5,034.58	$5,034.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,549.91 / $1,914.15	Professional		$1,011.91	$1,549.91	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,262.39 / $1,837.20 / $5,191.30	Professional		$1,262.39	$1,837.20	$5,191.30