Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.05 / $9,819.70 / $20,509.00	Facility		$1,797.05	$9,819.70	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,616.20 / $1,797.05 / $9,068.73	Professional		$1,616.20	$1,797.05	$9,068.73
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 $2,339.86 / $3,344.49 / $6,280.87	Professional		$2,339.86	$3,344.49	$6,280.87
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 $1,360.04 / $2,090.61 / $4,564.77	Professional		$1,360.04	$2,090.61	$4,564.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,727.53 / $2,177.58 / $5,129.39	Professional		$1,727.53	$2,177.58	$5,129.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.80 / $1,838.28 / $2,389.76	Professional		$1,561.80	$1,838.28	$2,389.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.52 / $2,105.32 / $3,873.96	Professional		$1,649.52	$2,105.32	$3,873.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $42,401.32 / $52,409.76	Facility		$55.00	$42,401.32	$52,409.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,047.18 / $15,690.14 / $15,690.14	Professional		$15,047.18	$15,690.14	$15,690.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,754.43 / $2,311.17 / $3,344.26	Facility		$1,754.43	$2,311.17	$3,344.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,754.43 / $2,171.07 / $4,957.85	Professional		$1,754.43	$2,171.07	$4,957.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,626.99 / $5,626.99 / $5,626.99	Professional		$5,626.99	$5,626.99	$5,626.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,561.80 / $2,036.39 / $2,954.33	Professional		$1,561.80	$2,036.39	$2,954.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,395.00 / $18,709.00	Facility		$1,940.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,492.06 / $2,075.19 / $4,615.66	Professional		$1,492.06	$2,075.19	$4,615.66