Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,653.26 / $9,639.00 / $20,509.00	Facility		$1,653.26	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,493.36 / $1,653.26 / $8,303.04	Professional		$1,493.36	$1,653.26	$8,303.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,517.00 / $9,644.00 / $19,252.00	Facility		$3,517.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,258.67 / $2,894.06 / $5,506.18	Professional		$2,258.67	$2,894.06	$5,506.18
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 $1,091.31 / $1,678.99 / $3,741.13	Professional		$1,091.31	$1,678.99	$3,741.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,614.14 / $2,009.60 / $4,888.45	Professional		$1,614.14	$2,009.60	$4,888.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,403.57 / $1,682.44 / $2,105.36	Professional		$1,403.57	$1,682.44	$2,105.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.00 / $1,895.42 / $3,525.48	Professional		$1,508.00	$1,895.42	$3,525.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,748.32 / $29,369.12	Facility		$55.00	$23,748.32	$29,369.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,627.60 / $14,627.60 / $14,627.60	Professional		$14,627.60	$14,627.60	$14,627.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,579.52 / $2,030.65 / $2,711.50	Facility		$1,579.52	$2,030.65	$2,711.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,602.49 / $1,993.70 / $4,510.32	Professional		$1,602.49	$1,993.70	$4,510.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,151.89 / $5,151.89 / $5,151.89	Professional		$5,151.89	$5,151.89	$5,151.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,403.57 / $1,824.64 / $2,386.07	Professional		$1,403.57	$1,824.64	$2,386.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,365.33 / $1,930.28 / $4,547.53	Professional		$1,365.33	$1,930.28	$4,547.53