Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.36 / $10,051.00 / $20,509.00	Facility		$1,740.36	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.57 / $1,740.36 / $9,920.45	Professional		$1,609.57	$1,740.36	$9,920.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,550.71 / $3,682.32 / $7,079.89	Professional		$2,550.71	$3,682.32	$7,079.89
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 $326.20 / $466.00 / $1,165.23	Professional		$326.20	$466.00	$1,165.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,932.68 / $2,436.69 / $6,260.20	Professional		$1,932.68	$2,436.69	$6,260.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,933.18 / $2,126.50 / $2,513.13	Professional		$1,933.18	$2,126.50	$2,513.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,739.86 / $2,230.28 / $4,114.20	Professional		$1,739.86	$2,230.28	$4,114.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,206.24 / $34,822.87	Facility		$55.00	$28,206.24	$34,822.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,359.36 / $13,692.16 / $16,198.28	Professional		$13,359.36	$13,692.16	$16,198.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,815.33 / $2,295.10 / $3,104.32	Facility		$1,815.33	$2,295.10	$3,104.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,932.68 / $2,469.54 / $5,522.83	Professional		$1,932.68	$2,469.54	$5,522.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,155.45 / $6,155.45 / $6,155.45	Professional		$6,155.45	$6,155.45	$6,155.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,556.99 / $1,815.33 / $2,140.86	Professional		$1,556.99	$1,815.33	$2,140.86
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 $1,644.89 / $2,583.81 / $5,994.75	Professional		$1,644.89	$2,583.81	$5,994.75