Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.59 / $10,051.00 / $20,509.00	Facility		$1,949.59	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,774.31 / $1,949.59 / $10,038.10	Professional		$1,774.31	$1,949.59	$10,038.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,711.58 / $3,760.17 / $6,735.56	Professional		$2,711.58	$3,760.17	$6,735.56
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 $1,451.11 / $2,236.05 / $4,913.43	Professional		$1,451.11	$2,236.05	$4,913.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,968.84 / $2,440.78 / $5,915.66	Professional		$1,968.84	$2,440.78	$5,915.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,899.47 / $2,006.62 / $2,608.61	Professional		$1,899.47	$2,006.62	$2,608.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,805.96 / $2,310.23 / $4,247.09	Professional		$1,805.96	$2,310.23	$4,247.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,811.18 / $57,828.68	Facility		$55.00	$46,811.18	$57,828.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,149.18 / $21,294.10 / $21,294.10	Professional		$18,149.18	$21,294.10	$21,294.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,894.28 / $2,453.48 / $3,250.09	Facility		$1,894.28	$2,453.48	$3,250.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,974.28 / $2,457.25 / $5,559.83	Professional		$1,974.28	$2,457.25	$5,559.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,228.49 / $6,228.49 / $6,228.49	Professional		$6,228.49	$6,228.49	$6,228.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,818.37 / $2,222.44 / $3,229.11	Professional		$1,818.37	$2,222.44	$3,229.11
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 $1,648.58 / $2,325.05 / $5,494.27	Professional		$1,648.58	$2,325.05	$5,494.27