Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,858.59 / $10,061.00 / $21,859.13	Facility		$1,858.59	$10,061.00	$21,859.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,677.90 / $1,858.59 / $9,350.04	Professional		$1,677.90	$1,858.59	$9,350.04
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 $2,585.82 / $3,531.77 / $6,598.12	Professional		$2,585.82	$3,531.77	$6,598.12
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 $1,422.55 / $2,186.81 / $4,707.97	Professional		$1,422.55	$2,186.81	$4,707.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,826.75 / $2,262.34 / $5,454.70	Professional		$1,826.75	$2,262.34	$5,454.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.29 / $1,895.04 / $2,463.55	Professional		$1,614.29	$1,895.04	$2,463.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,700.50 / $2,170.38 / $4,612.06	Professional		$1,700.50	$2,170.38	$4,612.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $43,713.02 / $54,044.64	Facility		$55.00	$43,713.02	$54,044.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,966.00 / $22,475.32 / $22,475.32	Professional		$20,966.00	$22,475.32	$22,475.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,808.65 / $2,472.94 / $3,938.39	Facility		$1,808.65	$2,472.94	$3,938.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,826.75 / $2,258.67 / $5,149.08	Professional		$1,826.75	$2,258.67	$5,149.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,801.55 / $5,801.55 / $5,801.55	Professional		$5,801.55	$5,801.55	$5,801.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,614.29 / $2,099.26 / $3,053.63	Professional		$1,614.29	$2,099.26	$3,053.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,426.00 / $18,709.00	Facility		$1,940.00	$6,426.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,538.17 / $2,191.01 / $5,124.83	Professional		$1,538.17	$2,191.01	$5,124.83