Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.67 / $9,639.00 / $20,509.00	Facility		$1,412.67	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,279.83 / $1,412.67 / $7,271.30	Professional		$1,279.83	$1,412.67	$7,271.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,393.00 / $22,145.00	Facility		$3,612.00	$11,393.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,863.91 / $2,484.55 / $4,803.60	Professional		$1,863.91	$2,484.55	$4,803.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $963.17 / $1,479.16 / $3,295.86	Professional		$963.17	$1,479.16	$3,295.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,356.06 / $1,731.84 / $4,277.64	Professional		$1,356.06	$1,731.84	$4,277.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,478.58 / $1,922.15	Professional		$1,223.01	$1,478.58	$1,922.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.45 / $1,687.96 / $3,109.34	Professional		$1,323.45	$1,687.96	$3,109.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,815.36 / $25,760.32	Facility		$55.00	$20,815.36	$25,760.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,063.00 / $14,063.00 / $14,063.00	Professional		$14,063.00	$14,063.00	$14,063.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,385.52 / $1,861.32 / $2,685.92	Facility		$1,385.52	$1,861.32	$2,685.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,354.16 / $1,725.16 / $3,930.00	Professional		$1,354.16	$1,725.16	$3,930.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,511.71 / $4,511.71 / $4,511.71	Professional		$4,511.71	$4,511.71	$4,511.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,223.01 / $1,638.37 / $2,313.46	Professional		$1,223.01	$1,638.37	$2,313.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,195.08 / $1,689.61 / $3,983.24	Professional		$1,195.08	$1,689.61	$3,983.24