Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.29 / $9,639.00 / $20,509.00	Facility		$1,672.29	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.59 / $1,672.29 / $7,967.25	Professional		$1,523.59	$1,672.29	$7,967.25
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 $2,195.38 / $2,934.58 / $5,305.73	Professional		$2,195.38	$2,934.58	$5,305.73
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 $1,297.65 / $1,993.35 / $4,253.87	Professional		$1,297.65	$1,993.35	$4,253.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.54 / $2,004.63 / $4,957.12	Professional		$1,620.54	$2,004.63	$4,957.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.02 / $1,547.47 / $2,011.71	Professional		$1,255.02	$1,547.47	$2,011.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,392.72 / $1,811.28 / $3,321.75	Professional		$1,392.72	$1,811.28	$3,321.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,046.72 / $28,318.88	Facility		$55.00	$23,046.72	$28,318.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,828.00 / $11,104.24 / $13,276.50	Professional		$10,828.00	$11,104.24	$13,276.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,535.43 / $2,116.80 / $2,697.16	Facility		$1,535.43	$2,116.80	$2,697.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,620.54 / $2,004.63 / $4,473.18	Professional		$1,620.54	$2,004.63	$4,473.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,943.55 / $4,943.55 / $4,943.55	Professional		$4,943.55	$4,943.55	$4,943.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.02 / $1,712.81 / $2,374.03	Professional		$1,255.02	$1,712.81	$2,374.03
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 $1,332.27 / $1,982.70 / $5,073.14	Professional		$1,332.27	$1,982.70	$5,073.14