Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,957.19 / $10,051.00 / $20,509.00	Facility		$1,957.19	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,772.16 / $2,074.38 / $9,884.79	Professional		$1,772.16	$2,074.38	$9,884.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,684.34 / $3,459.15 / $6,553.13	Professional		$2,684.34	$3,459.15	$6,553.13
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 $1,301.53 / $2,003.26 / $4,463.66	Professional		$1,301.53	$2,003.26	$4,463.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,922.90 / $2,389.42 / $5,810.10	Professional		$1,922.90	$2,389.42	$5,810.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,674.23 / $1,981.39 / $2,511.35	Professional		$1,674.23	$1,981.39	$2,511.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,781.04 / $2,240.34 / $4,161.74	Professional		$1,781.04	$2,240.34	$4,161.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,895.32 / $45,621.24	Facility		$55.00	$36,895.32	$45,621.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,592.52 / $17,592.52 / $17,592.52	Professional		$17,592.52	$17,592.52	$17,592.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,866.95 / $2,415.67 / $3,193.07	Facility		$1,866.95	$2,415.67	$3,193.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,891.70 / $2,373.50 / $5,373.72	Professional		$1,891.70	$2,373.50	$5,373.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,133.35 / $6,133.35 / $6,133.35	Professional		$6,133.35	$6,133.35	$6,133.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,674.23 / $2,176.50 / $2,846.20	Professional		$1,674.23	$2,176.50	$2,846.20
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 $1,626.33 / $2,286.92 / $5,415.31	Professional		$1,626.33	$2,286.92	$5,415.31