Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,090.69 / $10,061.00 / $20,509.00	Facility		$2,090.69	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,706.17 / $2,090.69 / $11,120.10	Professional		$1,706.17	$2,090.69	$11,120.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $14,312.00 / $29,023.00	Facility		$5,863.00	$14,312.00	$29,023.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,436.56 / $3,147.51 / $6,140.16	Professional		$2,436.56	$3,147.51	$6,140.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,798.98	Facility		$63.50	$100.00	$11,798.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,249.26 / $1,968.68 / $4,812.68	Professional		$1,249.26	$1,968.68	$4,812.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.84 / $2,669.82 / $7,450.17	Professional		$1,922.84	$2,669.82	$7,450.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,276.09 / $2,934.14	Professional		$843.26	$1,276.09	$2,934.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,119.36 / $2,755.17 / $4,876.28	Professional		$2,119.36	$2,755.17	$4,876.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,453.30 / $17,152.87	Facility		$55.00	$13,453.30	$17,152.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,085.76 / $15,524.88 / $17,546.70	Professional		$15,085.76	$15,524.88	$17,546.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,075.01 / $2,621.84 / $3,657.21	Facility		$2,075.01	$2,621.84	$3,657.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,945.99 / $2,758.51 / $5,885.11	Professional		$1,945.99	$2,758.51	$5,885.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,899.83 / $6,899.83 / $6,899.83	Professional		$6,899.83	$6,899.83	$6,899.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $843.26 / $1,488.78 / $2,715.27	Professional		$843.26	$1,488.78	$2,715.27
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 $1,663.45 / $2,415.59 / $7,164.49	Professional		$1,663.45	$2,415.59	$7,164.49