Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,983.48 / $10,061.00 / $20,509.00	Facility		$1,983.48	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,769.30 / $1,983.48 / $10,301.00	Professional		$1,769.30	$1,983.48	$10,301.00
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 $2,579.46 / $3,847.09 / $6,825.55	Professional		$2,579.46	$3,847.09	$6,825.55
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 $1,494.36 / $2,304.76 / $5,046.50	Professional		$1,494.36	$2,304.76	$5,046.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.48 / $2,505.17 / $5,966.77	Professional		$2,016.48	$2,505.17	$5,966.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,919.95 / $2,058.41 / $2,675.93	Professional		$1,919.95	$2,058.41	$2,675.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,852.57 / $2,370.61 / $4,357.79	Professional		$1,852.57	$2,370.61	$4,357.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $48,054.50 / $59,359.30	Facility		$55.00	$48,054.50	$59,359.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,655.11 / $18,655.11 / $18,655.11	Professional		$18,655.11	$18,655.11	$18,655.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,922.95 / $2,517.29 / $3,470.26	Facility		$1,922.95	$2,517.29	$3,470.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,027.77 / $2,517.23 / $5,705.88	Professional		$2,027.77	$2,517.23	$5,705.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,391.57 / $6,391.57 / $6,391.57	Professional		$6,391.57	$6,391.57	$6,391.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,865.27 / $2,279.77 / $3,263.92	Professional		$1,865.27	$2,279.77	$3,263.92
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 $1,741.70 / $2,413.54 / $5,640.43	Professional		$1,741.70	$2,413.54	$5,640.43