Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.01 / $9,639.00 / $20,509.00	Facility		$1,192.01	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,092.55 / $1,192.01 / $8,056.74	Professional		$1,092.55	$1,192.01	$8,056.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.92 / $2,392.32 / $4,858.33	Professional		$1,613.92	$2,392.32	$4,858.33
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 $937.83 / $1,438.46 / $3,350.07	Professional		$937.83	$1,438.46	$3,350.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,266.35 / $1,823.74 / $4,634.58	Professional		$1,266.35	$1,823.74	$4,634.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,404.69 / $1,569.71 / $2,107.04	Professional		$1,404.69	$1,569.71	$2,107.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.74 / $1,810.58 / $3,340.28	Professional		$1,412.74	$1,810.58	$3,340.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,050.79 / $37,123.80	Facility		$55.00	$30,050.79	$37,123.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,937.84 / $19,505.99 / $19,505.99	Professional		$18,937.84	$19,505.99	$19,505.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.77 / $1,863.46 / $2,543.85	Facility		$1,476.77	$1,863.46	$2,543.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,266.35 / $1,823.74 / $4,333.38	Professional		$1,266.35	$1,823.74	$4,333.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,999.05 / $4,999.05 / $4,999.05	Professional		$4,999.05	$4,999.05	$4,999.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,404.69 / $1,771.42 / $2,657.14	Professional		$1,404.69	$1,771.42	$2,657.14
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 $1,263.59 / $1,797.82 / $4,492.22	Professional		$1,263.59	$1,797.82	$4,492.22