Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,406.27 / $9,639.00 / $20,509.00	Facility		$1,406.27	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,178.11 / $1,406.27 / $7,985.18	Professional		$1,178.11	$1,406.27	$7,985.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,272.91 / $27,165.00	Facility		$4,437.00	$11,272.91	$27,165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,935.08 / $2,536.27 / $4,759.99	Professional		$1,935.08	$2,536.27	$4,759.99
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 $989.75 / $1,542.43 / $3,743.80	Professional		$989.75	$1,542.43	$3,743.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,436.74 / $1,969.51 / $5,181.31	Professional		$1,436.74	$1,969.51	$5,181.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.74 / $1,717.79 / $2,140.92	Professional		$1,414.74	$1,717.79	$2,140.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,547.62 / $2,017.46 / $3,599.48	Professional		$1,547.62	$2,017.46	$3,599.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $18,275.04 / $22,154.28	Facility		$55.00	$18,275.04	$22,154.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,683.78 / $12,683.78 / $14,396.55	Professional		$12,683.78	$12,683.78	$14,396.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.12 / $1,982.66 / $3,030.14	Facility		$1,584.12	$1,982.66	$3,030.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.12 / $2,000.81 / $4,386.39	Professional		$1,434.12	$2,000.81	$4,386.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,954.67 / $4,954.67 / $4,954.67	Professional		$4,954.67	$4,954.67	$4,954.67
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,414.74 / $1,900.82 / $2,676.15	Professional		$1,414.74	$1,900.82	$2,676.15
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 $1,251.72 / $1,792.05 / $5,128.50	Professional		$1,251.72	$1,792.05	$5,128.50