Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.42 / $9,639.00 / $20,509.00	Facility		$1,699.42	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,535.76 / $1,699.42 / $8,766.39	Professional		$1,535.76	$1,699.42	$8,766.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,234.04 / $3,180.84 / $5,905.46	Professional		$2,234.04	$3,180.84	$5,905.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,291.68 / $1,986.13 / $4,348.83	Professional		$1,291.68	$1,986.13	$4,348.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,710.95 / $2,091.16 / $5,165.16	Professional		$1,710.95	$2,091.16	$5,165.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,510.42 / $1,781.70 / $2,316.21	Professional		$1,510.42	$1,781.70	$2,316.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,596.81 / $2,068.44 / $3,751.56	Professional		$1,596.81	$2,068.44	$3,751.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $41,002.78 / $50,716.12	Facility		$55.00	$41,002.78	$50,716.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,432.00 / $19,432.00 / $19,432.00	Professional		$19,432.00	$19,432.00	$19,432.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.66 / $2,242.94 / $3,567.97	Facility		$1,698.66	$2,242.94	$3,567.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,710.95 / $2,088.60 / $4,782.93	Professional		$1,710.95	$2,088.60	$4,782.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,439.39 / $5,439.39 / $5,439.39	Professional		$5,439.39	$5,439.39	$5,439.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,510.42 / $1,973.79 / $2,857.14	Professional		$1,510.42	$1,973.79	$2,857.14
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 $1,441.31 / $1,991.37 / $4,462.56	Professional		$1,441.31	$1,991.37	$4,462.56