Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,800.14 / $9,956.17 / $20,509.00	Facility		$1,800.14	$9,956.17	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.77 / $1,800.14 / $9,227.64	Professional		$1,634.77	$1,800.14	$9,227.64
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 $2,387.15 / $3,412.08 / $6,381.52	Professional		$2,387.15	$3,412.08	$6,381.52
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 $1,398.29 / $2,147.73 / $4,640.77	Professional		$1,398.29	$2,147.73	$4,640.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,797.01 / $2,215.71 / $5,424.99	Professional		$1,797.01	$2,215.71	$5,424.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,638.49 / $1,851.04 / $2,457.73	Professional		$1,638.49	$1,851.04	$2,457.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,665.94 / $2,128.06 / $3,913.07	Professional		$1,665.94	$2,128.06	$3,913.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $43,052.10 / $53,168.18	Facility		$55.00	$43,052.10	$53,168.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,841.00 / $24,074.39 / $24,074.39	Professional		$22,841.00	$24,074.39	$24,074.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,773.38 / $2,390.26 / $3,791.29	Facility		$1,773.38	$2,390.26	$3,791.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,797.01 / $2,206.39 / $4,995.41	Professional		$1,797.01	$2,206.39	$4,995.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,725.58 / $5,725.58 / $5,725.58	Professional		$5,725.58	$5,725.58	$5,725.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,638.49 / $2,066.27 / $3,099.40	Professional		$1,638.49	$2,066.27	$3,099.40
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 $1,502.01 / $2,136.92 / $5,309.36	Professional		$1,502.01	$2,136.92	$5,309.36