Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,286.76 / $9,639.00 / $20,509.00	Facility		$1,286.76	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.23 / $1,286.76 / $6,819.66	Professional		$1,065.23	$1,286.76	$6,819.66
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 $1,717.48 / $2,233.82 / $4,326.89	Professional		$1,717.48	$2,233.82	$4,326.89
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 $881.84 / $1,367.87 / $3,335.62	Professional		$881.84	$1,367.87	$3,335.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,262.44 / $1,699.27 / $4,629.34	Professional		$1,262.44	$1,699.27	$4,629.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.82 / $1,473.47 / $1,768.16	Professional		$1,007.82	$1,473.47	$1,768.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,326.12 / $1,724.33 / $3,070.69	Professional		$1,326.12	$1,724.33	$3,070.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,795.04 / $25,215.04	Facility		$55.00	$20,795.04	$25,215.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,540.09 / $9,687.12 / $12,283.43	Professional		$9,540.09	$9,687.12	$12,283.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,319.68 / $1,685.24 / $2,277.00	Facility		$1,319.68	$1,685.24	$2,277.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,262.44 / $1,721.55 / $3,743.99	Professional		$1,262.44	$1,721.55	$3,743.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,231.47 / $4,231.47 / $4,231.47	Professional		$4,231.47	$4,231.47	$4,231.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,007.82 / $1,511.72 / $1,906.40	Professional		$1,007.82	$1,511.72	$1,906.40
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 $1,098.33 / $1,606.79 / $4,343.89	Professional		$1,098.33	$1,606.79	$4,343.89