Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.15 / $10,004.00 / $20,509.00	Facility		$1,711.15	$10,004.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.37 / $1,628.80 / $9,332.37	Professional		$1,445.37	$1,628.80	$9,332.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,059.00 / $24,104.86	Facility		$4,437.00	$11,059.00	$24,104.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,931.37 / $2,673.43 / $5,056.14	Professional		$1,931.37	$2,673.43	$5,056.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $8,138.75	Facility		$64.20	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,190.29 / $1,820.64 / $4,502.35	Professional		$1,190.29	$1,820.64	$4,502.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,694.11 / $2,274.79 / $6,430.42	Professional		$1,694.11	$2,274.79	$6,430.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.34 / $1,595.54 / $2,415.69	Professional		$1,054.34	$1,595.54	$2,415.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,790.36 / $2,275.86 / $4,078.10	Professional		$1,790.36	$2,275.86	$4,078.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $9,859.32 / $12,340.86	Facility		$5,897.00	$9,859.32	$12,340.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,475.40 / $23,475.40 / $23,475.40	Professional		$23,475.40	$23,475.40	$23,475.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,820.69 / $2,321.36 / $3,488.40	Facility		$1,820.69	$2,321.36	$3,488.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,694.11 / $2,281.81 / $5,014.56	Professional		$1,694.11	$2,281.81	$5,014.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,790.57 / $5,790.57 / $5,790.57	Professional		$5,790.57	$5,790.57	$5,790.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,054.34 / $1,792.40 / $2,233.86	Professional		$1,054.34	$1,792.40	$2,233.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.00 / $2,008.49 / $5,941.91	Professional		$1,442.00	$2,008.49	$5,941.91