Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,298.34 / $9,639.00 / $20,509.00	Facility		$1,298.34	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.02 / $1,298.34 / $6,902.28	Professional		$1,143.02	$1,298.34	$6,902.28
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 $1,738.00 / $2,260.14 / $4,379.76	Professional		$1,738.00	$2,260.14	$4,379.76
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 $928.39 / $1,442.28 / $3,511.70	Professional		$928.39	$1,442.28	$3,511.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,300.70 / $1,707.96 / $4,729.78	Professional		$1,300.70	$1,707.96	$4,729.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,483.35 / $1,802.88	Professional		$1,191.35	$1,483.35	$1,802.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,336.11 / $1,741.55 / $3,097.67	Professional		$1,336.11	$1,741.55	$3,097.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,458.84 / $17,526.52	Facility		$55.00	$14,458.84	$17,526.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,366.76 / $12,424.13 / $12,564.49	Professional		$12,366.76	$12,424.13	$12,564.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,407.01 / $1,739.37 / $2,595.13	Facility		$1,407.01	$1,739.37	$2,595.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,277.51 / $1,774.31 / $3,787.11	Professional		$1,277.51	$1,774.31	$3,787.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,282.72 / $4,282.72 / $4,282.72	Professional		$4,282.72	$4,282.72	$4,282.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,641.43 / $2,253.60	Professional		$1,191.35	$1,641.43	$2,253.60
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 $1,119.79 / $1,609.70 / $4,480.79	Professional		$1,119.79	$1,609.70	$4,480.79