Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,911.72 / $10,061.00 / $20,509.00	Facility		$1,911.72	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,556.58 / $1,911.72 / $10,148.40	Professional		$1,556.58	$1,911.72	$10,148.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,705.00 / $22,232.00	Facility		$4,437.00	$10,705.00	$22,232.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,220.04 / $2,909.76 / $5,594.49	Professional		$2,220.04	$2,909.76	$5,594.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $10,373.42	Facility		$63.50	$100.00	$10,373.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,210.45 / $1,905.92 / $4,623.51	Professional		$1,210.45	$1,905.92	$4,623.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,818.69 / $2,491.06 / $6,815.09	Professional		$1,818.69	$2,491.06	$6,815.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $2,690.78	Professional		$843.26	$1,276.09	$2,690.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,938.26 / $2,519.73 / $4,463.97	Professional		$1,938.26	$2,519.73	$4,463.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,288.92 / $15,671.95	Facility		$55.00	$12,288.92	$15,671.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,781.84 / $14,180.56 / $16,034.70	Professional		$13,781.84	$14,180.56	$16,034.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,898.63 / $2,433.50 / $3,347.98	Facility		$1,898.63	$2,433.50	$3,347.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,818.69 / $2,527.53 / $5,389.54	Professional		$1,818.69	$2,527.53	$5,389.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,296.91 / $6,296.91 / $6,296.91	Professional		$6,296.91	$6,296.91	$6,296.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,488.78 / $2,490.17	Professional		$843.26	$1,488.78	$2,490.17
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 $1,536.84 / $2,232.89 / $7,267.18	Professional		$1,536.84	$2,232.89	$7,267.18