Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.33 / $9,639.00 / $20,509.00	Facility		$1,757.33	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.43 / $1,671.45 / $8,456.54	Professional		$1,494.43	$1,671.45	$8,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,850.34 / $2,401.19 / $4,672.27	Professional		$1,850.34	$2,401.19	$4,672.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,343.60	Facility		$63.90	$100.00	$7,343.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,084.09 / $1,666.08 / $4,100.67	Professional		$1,084.09	$1,666.08	$4,100.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,558.89 / $2,098.34 / $6,436.40	Professional		$1,558.89	$2,098.34	$6,436.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.15 / $1,769.89 / $2,123.87	Professional		$1,307.15	$1,769.89	$2,123.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,592.90 / $2,038.32 / $3,670.54	Professional		$1,592.90	$2,038.32	$3,670.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $11,780.00 / $14,911.04	Facility		$55.00	$11,780.00	$14,911.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,649.68 / $11,913.92 / $13,277.33	Professional		$11,649.68	$11,913.92	$13,277.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,648.42 / $2,142.94 / $2,922.09	Facility		$1,648.42	$2,142.94	$2,922.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,589.36 / $2,105.42 / $4,548.62	Professional		$1,589.36	$2,105.42	$4,548.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,247.11 / $5,247.11 / $5,247.11	Professional		$5,247.11	$5,247.11	$5,247.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,307.15 / $1,960.72 / $2,472.62	Professional		$1,307.15	$1,960.72	$2,472.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,323.23 / $1,980.79 / $5,875.90	Professional		$1,323.23	$1,980.79	$5,875.90