Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.75 / $9,639.00 / $20,509.00	Facility		$1,646.75	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.80 / $1,646.75 / $8,412.95	Professional		$1,487.80	$1,646.75	$8,412.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,167.77 / $3,033.16 / $5,581.81	Professional		$2,167.77	$3,033.16	$5,581.81
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 $1,263.72 / $1,940.97 / $4,235.55	Professional		$1,263.72	$1,940.97	$4,235.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,641.54 / $2,020.12 / $4,955.63	Professional		$1,641.54	$2,020.12	$4,955.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,443.41 / $1,712.00 / $2,225.60	Professional		$1,443.41	$1,712.00	$2,225.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,533.12 / $1,957.34 / $3,602.83	Professional		$1,533.12	$1,957.34	$3,602.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $39,341.64 / $48,666.80	Facility		$55.00	$39,341.64	$48,666.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,773.00 / $19,773.00 / $19,773.00	Professional		$19,773.00	$19,773.00	$19,773.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,631.12 / $2,169.66 / $3,426.12	Facility		$1,631.12	$2,169.66	$3,426.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,641.54 / $2,007.87 / $4,643.58	Professional		$1,641.54	$2,007.87	$4,643.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,220.08 / $5,220.08 / $5,220.08	Professional		$5,220.08	$5,220.08	$5,220.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,443.41 / $1,896.62 / $2,730.38	Professional		$1,443.41	$1,896.62	$2,730.38
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 $1,383.02 / $1,955.28 / $4,611.28	Professional		$1,383.02	$1,955.28	$4,611.28