Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.12 / $9,639.00 / $20,509.00	Facility		$1,708.12	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.89 / $1,780.75 / $7,343.32	Professional		$1,550.89	$1,780.75	$7,343.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,697.00 / $22,145.00	Facility		$3,738.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,299.76 / $3,095.82 / $5,803.73	Professional		$2,299.76	$3,095.82	$5,803.73
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 $1,258.68 / $1,933.71 / $4,293.33	Professional		$1,258.68	$1,933.71	$4,293.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.37 / $2,106.10 / $5,120.37	Professional		$1,710.37	$2,106.10	$5,120.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.55 / $1,753.70 / $2,279.81	Professional		$1,441.55	$1,753.70	$2,279.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,578.33 / $2,019.14 / $4,290.68	Professional		$1,578.33	$2,019.14	$4,290.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,049.37 / $40,799.22	Facility		$55.00	$33,049.37	$40,799.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,161.85 / $15,161.85 / $15,161.85	Professional		$15,161.85	$15,161.85	$15,161.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,654.28 / $2,143.01 / $2,839.52	Facility		$1,654.28	$2,143.01	$2,839.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,708.21 / $2,106.10 / $4,857.79	Professional		$1,708.21	$2,106.10	$4,857.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,442.32 / $5,442.32 / $5,442.32	Professional		$5,442.32	$5,442.32	$5,442.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,441.55 / $1,942.30 / $2,726.86	Professional		$1,441.55	$1,942.30	$2,726.86
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 $1,446.82 / $2,071.11 / $4,800.84	Professional		$1,446.82	$2,071.11	$4,800.84