Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,575.92 / $9,639.00 / $20,509.00	Facility		$1,575.92	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,426.77 / $1,575.92 / $8,820.23	Professional		$1,426.77	$1,575.92	$8,820.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,080.88 / $2,865.90 / $5,420.73	Professional		$2,080.88	$2,865.90	$5,420.73
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 $1,121.72 / $1,725.66 / $3,845.12	Professional		$1,121.72	$1,725.66	$3,845.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,595.15 / $2,052.21 / $5,144.77	Professional		$1,595.15	$2,052.21	$5,144.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,765.32 / $2,302.71	Professional		$1,399.85	$1,765.32	$2,302.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,594.19 / $2,036.08 / $4,326.66	Professional		$1,594.19	$2,036.08	$4,326.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $33,263.16 / $41,082.30	Facility		$55.00	$33,263.16	$41,082.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,193.00 / $16,193.00 / $16,193.00	Professional		$16,193.00	$16,193.00	$16,193.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,680.74 / $2,205.75 / $3,140.00	Facility		$1,680.74	$2,205.75	$3,140.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,595.15 / $2,042.70 / $4,765.34	Professional		$1,595.15	$2,042.70	$4,765.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,472.79 / $5,472.79 / $5,472.79	Professional		$5,472.79	$5,472.79	$5,472.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,959.79 / $2,647.98	Professional		$1,399.85	$1,959.79	$2,647.98
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 $1,447.34 / $2,005.19 / $4,829.24	Professional		$1,447.34	$2,005.19	$4,829.24