Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.83 / $10,051.00 / $20,509.00	Facility		$1,837.83	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.91 / $1,837.83 / $7,272.17	Professional		$1,658.91	$1,837.83	$7,272.17
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 $2,414.60 / $3,297.93 / $6,228.10	Professional		$2,414.60	$3,297.93	$6,228.10
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 $1,386.40 / $2,132.42 / $4,669.17	Professional		$1,386.40	$2,132.42	$4,669.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,820.88 / $2,246.57 / $5,497.04	Professional		$1,820.88	$2,246.57	$5,497.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,915.11 / $2,298.13	Professional		$1,399.85	$1,915.11	$2,298.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,714.71 / $2,189.32 / $4,652.30	Professional		$1,714.71	$2,189.32	$4,652.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $44,000.32 / $54,400.58	Facility		$55.00	$44,000.32	$54,400.58
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 $1,824.43 / $2,405.98 / $3,633.75	Facility		$1,824.43	$2,405.98	$3,633.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,824.43 / $2,242.13 / $5,157.37	Professional		$1,824.43	$2,242.13	$5,157.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,832.27 / $5,832.27 / $5,832.27	Professional		$5,832.27	$5,832.27	$5,832.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,399.85 / $1,819.80 / $2,379.73	Professional		$1,399.85	$1,819.80	$2,379.73
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 $1,537.99 / $2,113.36 / $4,590.04	Professional		$1,537.99	$2,113.36	$4,590.04