Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,718.97 / $9,639.00 / $20,509.00	Facility		$1,718.97	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,558.41 / $1,718.97 / $8,744.68	Professional		$1,558.41	$1,718.97	$8,744.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,517.00 / $9,644.00 / $19,252.00	Facility		$3,517.00	$9,644.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,493.90 / $3,123.42 / $5,835.23	Professional		$2,493.90	$3,123.42	$5,835.23
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 $1,284.24 / $1,978.05 / $4,331.14	Professional		$1,284.24	$1,978.05	$4,331.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,715.44 / $2,101.21 / $5,288.26	Professional		$1,715.44	$2,101.21	$5,288.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,473.56 / $1,748.37 / $2,272.88	Professional		$1,473.56	$1,748.37	$2,272.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,573.53 / $2,012.90 / $3,690.32	Professional		$1,573.53	$2,012.90	$3,690.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,100.64 / $30,992.64	Facility		$55.00	$25,100.64	$30,992.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,908.29 / $21,470.89 / $21,470.89	Professional		$14,908.29	$21,470.89	$21,470.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,662.93 / $2,137.71 / $2,831.09	Facility		$1,662.93	$2,137.71	$2,831.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,730.60 / $2,101.21 / $4,877.21	Professional		$1,730.60	$2,101.21	$4,877.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,425.90 / $5,425.90 / $5,425.90	Professional		$5,425.90	$5,425.90	$5,425.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,473.56 / $1,936.41 / $2,787.42	Professional		$1,473.56	$1,936.41	$2,787.42
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 $1,442.47 / $2,047.06 / $4,786.39	Professional		$1,442.47	$2,047.06	$4,786.39