Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,435.51 / $9,639.00 / $20,509.00	Facility		$1,435.51	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,264.75 / $1,435.51 / $7,653.96	Professional		$1,264.75	$1,435.51	$7,653.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,521.00 / $27,257.00	Facility		$4,597.00	$11,521.00	$27,257.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,923.23 / $2,497.35 / $4,846.55	Professional		$1,923.23	$2,497.35	$4,846.55
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 $996.85 / $1,549.12 / $3,776.29	Professional		$996.85	$1,549.12	$3,776.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,409.34 / $1,889.85 / $5,229.53	Professional		$1,409.34	$1,889.85	$5,229.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,161.20 / $1,642.44 / $1,970.93	Professional		$1,161.20	$1,642.44	$1,970.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,480.51 / $1,930.15 / $3,481.07	Professional		$1,480.51	$1,930.15	$3,481.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,488.43 / $21,193.08	Facility		$55.00	$17,488.43	$21,193.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,781.76 / $13,781.76 / $13,781.76	Professional		$13,781.76	$13,781.76	$13,781.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,544.12 / $1,923.78 / $2,875.10	Facility		$1,544.12	$1,923.78	$2,875.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,409.34 / $1,951.21 / $4,195.58	Professional		$1,409.34	$1,951.21	$4,195.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,749.14 / $4,749.14 / $4,749.14	Professional		$4,749.14	$4,749.14	$4,749.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,161.20 / $1,741.81 / $2,196.56	Professional		$1,161.20	$1,741.81	$2,196.56
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 $1,241.49 / $1,761.35 / $4,915.33	Professional		$1,241.49	$1,761.35	$4,915.33