Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,627.65 / $9,787.74 / $20,509.00	Facility		$1,627.65	$9,787.74	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,404.69 / $1,689.19 / $9,049.41	Professional		$1,404.69	$1,689.19	$9,049.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,160.23 / $2,803.35 / $5,389.93	Professional		$2,160.23	$2,803.35	$5,389.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,353.16 / $2,081.21 / $5,079.22	Professional		$1,353.16	$2,081.21	$5,079.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.28 / $2,240.30 / $6,602.40	Professional		$1,715.28	$2,240.30	$6,602.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.50 / $2,013.68 / $2,471.34	Professional		$1,740.50	$2,013.68	$2,471.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,673.40 / $2,159.98 / $3,847.93	Professional		$1,673.40	$2,159.98	$3,847.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,932.00 / $38,227.24	Facility		$55.00	$30,932.00	$38,227.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,310.16 / $12,619.68 / $15,021.45	Professional		$12,310.16	$12,619.68	$15,021.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,762.55 / $2,304.33 / $3,086.85	Facility		$1,762.55	$2,304.33	$3,086.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,730.87 / $2,246.71 / $4,931.63	Professional		$1,730.87	$2,246.71	$4,931.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,615.00 / $5,615.00 / $5,615.00	Professional		$5,615.00	$5,615.00	$5,615.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,696.95 / $2,194.91 / $3,292.37	Professional		$1,696.95	$2,194.91	$3,292.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,456.85 / $2,026.86 / $5,468.60	Professional		$1,456.85	$2,026.86	$5,468.60