Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.66 / $9,639.00 / $20,509.00	Facility		$1,796.66	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.88 / $1,748.70 / $8,236.71	Professional		$1,586.88	$1,748.70	$8,236.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,747.00 / $19,696.00	Facility		$3,537.00	$9,747.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.77 / $2,954.17 / $5,554.58	Professional		$1,621.77	$2,954.17	$5,554.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,282.42 / $1,968.41 / $4,237.79	Professional		$1,282.42	$1,968.41	$4,237.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,675.75 / $2,129.13 / $5,199.77	Professional		$1,675.75	$2,129.13	$5,199.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $999.63 / $1,260.60 / $1,919.95	Professional		$999.63	$1,260.60	$1,919.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.96 / $1,872.29 / $3,434.06	Professional		$1,439.96	$1,872.29	$3,434.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,820.80 / $29,280.32	Facility		$55.00	$23,820.80	$29,280.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,193.12 / $11,481.28 / $13,721.78	Professional		$11,193.12	$11,481.28	$13,721.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,562.08 / $1,999.95 / $2,907.00	Facility		$1,562.08	$1,999.95	$2,907.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,660.92 / $2,110.03 / $4,830.64	Professional		$1,660.92	$2,110.03	$4,830.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,110.72 / $5,110.72 / $5,110.72	Professional		$5,110.72	$5,110.72	$5,110.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $999.63 / $1,499.44 / $1,890.91	Professional		$999.63	$1,499.44	$1,890.91
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 $1,424.70 / $2,042.08 / $4,259.12	Professional		$1,424.70	$2,042.08	$4,259.12