Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.93 / $9,639.00 / $20,509.00	Facility		$1,437.93	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,193.60 / $1,354.79 / $7,698.63	Professional		$1,193.60	$1,354.79	$7,698.63
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 $1,917.44 / $2,513.14 / $4,831.95	Professional		$1,917.44	$2,513.14	$4,831.95
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 $1,002.48 / $1,557.03 / $3,795.57	Professional		$1,002.48	$1,557.03	$3,795.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,421.86 / $1,893.54 / $5,214.26	Professional		$1,421.86	$1,893.54	$5,214.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,079.67 / $1,633.86 / $1,990.25	Professional		$1,079.67	$1,633.86	$1,990.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,492.69 / $1,944.99 / $3,461.00	Professional		$1,492.69	$1,944.99	$3,461.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,607.36 / $21,360.12	Facility		$55.00	$17,607.36	$21,360.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,724.26 / $12,111.16 / $13,868.03	Professional		$11,724.26	$12,111.16	$13,868.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,555.43 / $1,931.54 / $2,688.20	Facility		$1,555.43	$1,931.54	$2,688.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,421.86 / $1,942.60 / $4,229.07	Professional		$1,421.86	$1,942.60	$4,229.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,776.85 / $4,776.85 / $4,776.85	Professional		$4,776.85	$4,776.85	$4,776.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,079.67 / $1,619.51 / $2,042.33	Professional		$1,079.67	$1,619.51	$2,042.33
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 $1,239.84 / $1,771.20 / $4,945.60	Professional		$1,239.84	$1,771.20	$4,945.60