Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,685.25 / $9,639.00 / $20,509.00	Facility		$1,685.25	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.23 / $1,685.25 / $8,493.44	Professional		$1,523.23	$1,685.25	$8,493.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,478.00 / $24,456.00	Facility		$3,846.00	$12,478.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,217.78 / $3,056.50 / $5,659.01	Professional		$2,217.78	$3,056.50	$5,659.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,344.10	Facility		$63.50	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,211.25 / $1,864.46 / $4,154.39	Professional		$1,211.25	$1,864.46	$4,154.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.43 / $2,053.80 / $4,997.56	Professional		$1,655.43	$2,053.80	$4,997.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.09 / $1,722.50 / $2,308.64	Professional		$1,539.09	$1,722.50	$2,308.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,543.77 / $1,999.14 / $3,625.49	Professional		$1,543.77	$1,999.14	$3,625.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,902.15 / $39,453.12	Facility		$55.00	$31,902.15	$39,453.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $18,750.00 / $18,750.00	Professional		$18,750.00	$18,750.00	$18,750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,640.45 / $2,207.94 / $3,300.00	Facility		$1,640.45	$2,207.94	$3,300.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,637.27 / $2,039.42 / $4,690.31	Professional		$1,637.27	$2,039.42	$4,690.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,270.04 / $5,270.04 / $5,270.04	Professional		$5,270.04	$5,270.04	$5,270.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,539.09 / $1,940.91 / $2,911.37	Professional		$1,539.09	$1,940.91	$2,911.37
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 $1,396.94 / $1,982.81 / $4,749.31	Professional		$1,396.94	$1,982.81	$4,749.31