Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,518.38 / $9,639.00 / $20,509.00	Facility		$1,518.38	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.85 / $1,573.94 / $8,398.12	Professional		$1,308.85	$1,573.94	$8,398.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $10,000.00 / $20,418.00	Facility		$3,537.00	$10,000.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,967.51 / $2,578.77 / $4,958.13	Professional		$1,967.51	$2,578.77	$4,958.13
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 $1,189.35 / $1,828.47 / $4,464.99	Professional		$1,189.35	$1,828.47	$4,464.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,629.50 / $2,079.44 / $6,137.30	Professional		$1,629.50	$2,079.44	$6,137.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,500.74 / $1,800.89 / $2,251.11	Professional		$1,500.74	$1,800.89	$2,251.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,553.11 / $2,004.41 / $3,571.85	Professional		$1,553.11	$2,004.41	$3,571.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,612.53 / $20,535.79	Facility		$55.00	$16,612.53	$20,535.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,422.40 / $11,708.72 / $13,934.48	Professional		$11,422.40	$11,708.72	$13,934.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,623.57 / $2,058.77 / $2,867.09	Facility		$1,623.57	$2,058.77	$2,867.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,623.57 / $2,091.39 / $4,543.57	Professional		$1,623.57	$2,091.39	$4,543.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,210.88 / $5,210.88 / $5,210.88	Professional		$5,210.88	$5,210.88	$5,210.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,500.74 / $1,892.55 / $2,838.83	Professional		$1,500.74	$1,892.55	$2,838.83
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 $1,334.49 / $1,929.26 / $5,381.08	Professional		$1,334.49	$1,929.26	$5,381.08