Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,355.31 / $9,639.00 / $20,509.00	Facility		$1,355.31	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,420.02 / $7,198.09	Professional		$1,260.00	$1,420.02	$7,198.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,486.00 / $12,417.25 / $24,456.00	Facility		$5,486.00	$12,417.25	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,594.15 / $2,089.42 / $4,017.26	Professional		$1,594.15	$2,089.42	$4,017.26
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 $981.95 / $1,519.79 / $3,714.31	Professional		$981.95	$1,519.79	$3,714.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,296.44 / $1,771.10 / $4,891.85	Professional		$1,296.44	$1,771.10	$4,891.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $1,893.20	Professional		$1,011.91	$1,531.32	$1,893.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.45 / $1,814.32 / $3,202.69	Professional		$1,405.45	$1,814.32	$3,202.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,762.84 / $21,185.45	Facility		$55.00	$16,762.84	$21,185.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,117.84 / $10,285.12 / $11,718.68	Professional		$10,117.84	$10,285.12	$11,718.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,430.75 / $1,812.31 / $2,547.25	Facility		$1,430.75	$1,812.31	$2,547.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,296.44 / $1,792.80 / $3,906.48	Professional		$1,296.44	$1,792.80	$3,906.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.28 / $4,466.28 / $4,466.28	Professional		$4,466.28	$4,466.28	$4,466.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,517.87 / $1,914.15	Professional		$1,011.91	$1,517.87	$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 $1,123.35 / $1,604.79 / $4,616.03	Professional		$1,123.35	$1,604.79	$4,616.03