Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.73 / $10,051.00 / $20,509.00	Facility		$1,875.73	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,705.48 / $1,875.73 / $9,617.28	Professional		$1,705.48	$1,875.73	$9,617.28
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 $2,616.94 / $3,574.29 / $6,373.28	Professional		$2,616.94	$3,574.29	$6,373.28
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 $1,309.24 / $2,007.92 / $4,474.05	Professional		$1,309.24	$2,007.92	$4,474.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,873.92 / $2,309.28 / $5,667.05	Professional		$1,873.92	$2,309.28	$5,667.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.82 / $1,924.90 / $2,596.23	Professional		$1,730.82	$1,924.90	$2,596.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,732.41 / $2,215.28 / $4,072.79	Professional		$1,732.41	$2,215.28	$4,072.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $44,868.72 / $55,410.94	Facility		$55.00	$44,868.72	$55,410.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,602.00 / $19,602.00 / $19,602.00	Professional		$19,602.00	$19,602.00	$19,602.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,837.26 / $2,454.96 / $3,750.00	Facility		$1,837.26	$2,454.96	$3,750.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,846.02 / $2,299.52 / $5,255.42	Professional		$1,846.02	$2,299.52	$5,255.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,967.33 / $5,967.33 / $5,967.33	Professional		$5,967.33	$5,967.33	$5,967.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,730.82 / $2,182.71 / $3,274.06	Professional		$1,730.82	$2,182.71	$3,274.06
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 $1,579.28 / $2,227.69 / $4,730.10	Professional		$1,579.28	$2,227.69	$4,730.10