Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,824.73 / $10,051.00 / $20,509.00	Facility		$1,824.73	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,620.84 / $1,824.73 / $9,452.59	Professional		$1,620.84	$1,824.73	$9,452.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $29,600.00	Facility		$4,204.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,361.23 / $3,360.77 / $6,268.89	Professional		$2,361.23	$3,360.77	$6,268.89
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 $1,451.85 / $2,234.80 / $4,811.30	Professional		$1,451.85	$2,234.80	$4,811.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,821.17 / $2,266.65 / $5,348.50	Professional		$1,821.17	$2,266.65	$5,348.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.05 / $1,913.66 / $2,583.44	Professional		$1,854.05	$1,913.66	$2,583.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,718.42 / $2,193.00 / $4,034.88	Professional		$1,718.42	$2,193.00	$4,034.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $44,199.74 / $54,612.22	Facility		$55.00	$44,199.74	$54,612.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,716.00 / $24,716.00 / $24,716.00	Professional		$24,716.00	$24,716.00	$24,716.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,827.50 / $2,470.44 / $3,934.41	Facility		$1,827.50	$2,470.44	$3,934.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,827.50 / $2,263.81 / $5,115.47	Professional		$1,827.50	$2,263.81	$5,115.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,865.16 / $5,865.16 / $5,865.16	Professional		$5,865.16	$5,865.16	$5,865.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,773.13 / $2,338.11 / $3,507.17	Professional		$1,773.13	$2,338.11	$3,507.17
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 $1,586.02 / $2,112.54 / $4,647.22	Professional		$1,586.02	$2,112.54	$4,647.22