Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.77 / $9,639.00 / $20,509.00	Facility		$1,674.77	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,533.23 / $1,674.77 / $8,236.71	Professional		$1,533.23	$1,674.77	$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 $1,872.34 / $3,029.60 / $5,477.51	Professional		$1,872.34	$3,029.60	$5,477.51
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 $1,299.19 / $1,996.11 / $4,272.89	Professional		$1,299.19	$1,996.11	$4,272.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,629.71 / $2,042.81 / $4,919.92	Professional		$1,629.71	$2,042.81	$4,919.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,189.50 / $1,500.05 / $2,079.94	Professional		$1,189.50	$1,500.05	$2,079.94
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 $1,586.88 / $2,129.91 / $2,782.11	Facility		$1,586.88	$2,129.91	$2,782.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,629.71 / $2,035.23 / $4,624.10	Professional		$1,629.71	$2,035.23	$4,624.10
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 $1,189.50 / $1,665.30 / $2,250.08	Professional		$1,189.50	$1,665.30	$2,250.08
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 $1,377.22 / $1,947.09 / $4,174.09	Professional		$1,377.22	$1,947.09	$4,174.09