Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,669.84 / $9,915.37 / $20,509.00	Facility		$1,669.84	$9,915.37	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,436.43 / $1,727.35 / $9,152.59	Professional		$1,436.43	$1,727.35	$9,152.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,697.00 / $22,145.00	Facility		$3,612.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,175.76 / $3,025.28 / $5,491.28	Professional		$2,175.76	$3,025.28	$5,491.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,304.47 / $2,014.15 / $4,906.25	Professional		$1,304.47	$2,014.15	$4,906.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,789.23 / $2,312.23 / $6,720.54	Professional		$1,789.23	$2,312.23	$6,720.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,496.27 / $1,856.17 / $2,264.30	Professional		$1,496.27	$1,856.17	$2,264.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,693.60 / $2,213.69 / $3,896.09	Professional		$1,693.60	$2,213.69	$3,896.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,330.08 / $32,548.96	Facility		$55.00	$26,330.08	$32,548.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,161.85 / $15,161.85 / $15,184.95	Professional		$15,161.85	$15,161.85	$15,184.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,743.19 / $2,213.69 / $3,088.73	Facility		$1,743.19	$2,213.69	$3,088.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.64 / $2,312.23 / $5,048.32	Professional		$1,778.64	$2,312.23	$5,048.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,679.01 / $5,679.01 / $5,679.01	Professional		$5,679.01	$5,679.01	$5,679.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,496.27 / $2,056.21 / $2,830.38	Professional		$1,496.27	$2,056.21	$2,830.38
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 $1,453.49 / $2,025.59 / $5,865.65	Professional		$1,453.49	$2,025.59	$5,865.65