Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,638.24 / $10,061.00 / $22,788.00	Facility		$1,638.24	$10,061.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,477.05 / $1,698.60 / $21,455.10	Professional		$1,477.05	$1,698.60	$21,455.10
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 $2,369.80 / $3,092.71 / $8,081.36	Professional		$2,369.80	$3,092.71	$8,081.36
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 $1,137.91 / $1,748.79 / $4,410.93	Professional		$1,137.91	$1,748.79	$4,410.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.61 / $4,535.85 / $10,883.01	Professional		$1,659.61	$4,535.85	$10,883.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $1,808.04 / $5,057.70	Professional		$1,433.73	$1,808.04	$5,057.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,793.28 / $4,776.29 / $8,921.90	Professional		$3,793.28	$4,776.29	$8,921.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $98,882.42 / $121,891.64	Facility		$55.00	$98,882.42	$121,891.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,765.92 / $29,461.92 / $35,029.43	Professional		$28,765.92	$29,461.92	$35,029.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,975.60 / $4,054.21 / $6,113.65	Facility		$1,975.60	$4,054.21	$6,113.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.61 / $4,535.85 / $10,992.25	Professional		$1,659.61	$4,535.85	$10,992.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,312.53 / $13,312.53 / $13,312.53	Professional		$13,312.53	$13,312.53	$13,312.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,437.34 / $4,667.91	Professional		$1,433.73	$2,437.34	$4,667.91
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 $1,774.49 / $4,407.85 / $11,250.06	Professional		$1,774.49	$4,407.85	$11,250.06