Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,552.24 / $9,639.00 / $20,509.00	Facility		$1,552.24	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.56 / $1,552.24 / $8,264.51	Professional		$1,287.56	$1,552.24	$8,264.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,076.23 / $2,600.34 / $5,232.13	Professional		$2,076.23	$2,600.34	$5,232.13
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 $1,057.10 / $1,643.27 / $4,005.80	Professional		$1,057.10	$1,643.27	$4,005.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,527.16 / $2,041.25 / $5,637.09	Professional		$1,527.16	$2,041.25	$5,637.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.97 / $1,780.73 / $2,136.88	Professional		$1,193.97	$1,780.73	$2,136.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,602.66 / $2,088.10 / $3,715.80	Professional		$1,602.66	$2,088.10	$3,715.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,902.04 / $22,927.56	Facility		$55.00	$18,902.04	$22,927.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,695.91 / $13,695.91 / $14,886.90	Professional		$13,695.91	$13,695.91	$14,886.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,670.48 / $2,074.44 / $3,113.25	Facility		$1,670.48	$2,074.44	$3,113.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,527.16 / $2,078.78 / $4,539.35	Professional		$1,527.16	$2,078.78	$4,539.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,127.97 / $5,127.97 / $5,127.97	Professional		$5,127.97	$5,127.97	$5,127.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,193.97 / $1,790.95 / $2,258.53	Professional		$1,193.97	$1,790.95	$2,258.53
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 $1,336.44 / $1,897.33 / $5,935.62	Professional		$1,336.44	$1,897.33	$5,935.62