Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,846.27 / $10,051.00 / $20,509.00	Facility		$1,846.27	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,685.88 / $1,846.27 / $9,587.65	Professional		$1,685.88	$1,846.27	$9,587.65
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 $2,466.42 / $3,368.70 / $6,293.47	Professional		$2,466.42	$3,368.70	$6,293.47
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 $1,269.39 / $1,950.37 / $4,345.81	Professional		$1,269.39	$1,950.37	$4,345.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,796.15 / $2,273.10 / $5,594.83	Professional		$1,796.15	$2,273.10	$5,594.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,563.66 / $1,904.68 / $2,476.08	Professional		$1,563.66	$1,904.68	$2,476.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,714.21 / $2,197.85 / $4,038.84	Professional		$1,714.21	$2,197.85	$4,038.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $44,650.32 / $55,148.86	Facility		$55.00	$44,650.32	$55,148.86
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 $1,827.87 / $2,438.77 / $3,750.00	Facility		$1,827.87	$2,438.77	$3,750.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,815.71 / $2,254.80 / $5,215.68	Professional		$1,815.71	$2,254.80	$5,215.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,948.96 / $5,948.96 / $5,948.96	Professional		$5,948.96	$5,948.96	$5,948.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,563.66 / $2,109.37 / $2,957.85	Professional		$1,563.66	$2,109.37	$2,957.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,919.00 / $6,142.00 / $18,709.00	Facility		$1,919.00	$6,142.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,576.39 / $2,213.96 / $4,873.28	Professional		$1,576.39	$2,213.96	$4,873.28