Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,645.00 / $9,697.00 / $21,960.90	Facility		$2,645.00	$9,697.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,022.17 / $1,141.75 / $5,706.18	Professional		$1,022.17	$1,141.75	$5,706.18
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 $1,200.89 / $1,597.22 / $3,123.94	Professional		$1,200.89	$1,597.22	$3,123.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $5,717.48	Facility		$64.20	$100.00	$5,717.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $784.24 / $1,211.05 / $2,966.44	Professional		$784.24	$1,211.05	$2,966.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,098.01 / $1,443.22 / $4,221.62	Professional		$1,098.01	$1,443.22	$4,221.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,329.57 / $1,631.75	Professional		$1,116.90	$1,329.57	$1,631.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.61 / $1,390.01 / $2,467.10	Professional		$1,084.61	$1,390.01	$2,467.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,981.52 / $8,836.03	Facility		$55.00	$6,981.52	$8,836.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,018.90 / $10,018.90 / $10,138.48	Professional		$10,018.90	$10,018.90	$10,138.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,141.75 / $1,457.83 / $2,362.15	Facility		$1,141.75	$1,457.83	$2,362.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,098.68 / $1,461.49 / $3,097.30	Professional		$1,098.68	$1,461.49	$3,097.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,540.58 / $3,540.58 / $3,540.58	Professional		$3,540.58	$3,540.58	$3,540.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,097.86 / $1,408.50 / $2,112.75	Professional		$1,097.86	$1,408.50	$2,112.75
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 $876.40 / $1,339.78 / $3,635.67	Professional		$876.40	$1,339.78	$3,635.67