Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,809.65 / $9,639.00 / $20,509.00	Facility		$1,809.65	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.83 / $1,809.65 / $8,879.54	Professional		$1,658.83	$1,809.65	$8,879.54
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 $2,301.06 / $3,257.94 / $5,871.23	Professional		$2,301.06	$3,257.94	$5,871.23
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 $1,416.11 / $2,175.23 / $4,648.89	Professional		$1,416.11	$2,175.23	$4,648.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,777.88 / $2,211.78 / $5,304.94	Professional		$1,777.88	$2,211.78	$5,304.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,599.03 / $1,722.66 / $2,325.59	Professional		$1,599.03	$1,722.66	$2,325.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,550.39 / $2,017.73 / $3,699.30	Professional		$1,550.39	$2,017.73	$3,699.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,680.00 / $31,569.76	Facility		$55.00	$25,680.00	$31,569.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,065.68 / $12,378.16 / $14,791.80	Professional		$12,065.68	$12,378.16	$14,791.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,712.02 / $2,372.13 / $3,006.78	Facility		$1,712.02	$2,372.13	$3,006.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,777.88 / $2,216.16 / $4,986.32	Professional		$1,777.88	$2,216.16	$4,986.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,509.59 / $5,509.59 / $5,509.59	Professional		$5,509.59	$5,509.59	$5,509.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,599.03 / $2,016.50 / $3,024.75	Professional		$1,599.03	$2,016.50	$3,024.75
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 $1,485.10 / $2,150.82 / $4,844.92	Professional		$1,485.10	$2,150.82	$4,844.92