Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.56 / $9,887.34 / $20,509.00	Facility		$1,739.56	$9,887.34	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.49 / $1,739.56 / $9,129.58	Professional		$1,573.49	$1,739.56	$9,129.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,213.79 / $6,363.00 / $16,635.00	Facility		$1,213.79	$6,363.00	$16,635.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,699.04 / $2,956.65 / $5,937.95	Professional		$1,699.04	$2,956.65	$5,937.95
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 $1,312.33 / $2,017.00 / $4,474.24	Professional		$1,312.33	$2,017.00	$4,474.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.45 / $2,125.83 / $4,943.05	Professional		$1,703.45	$2,125.83	$4,943.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $909.16 / $1,146.52 / $2,223.38	Professional		$909.16	$1,146.52	$2,223.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,662.16 / $2,094.60 / $3,889.62	Professional		$1,662.16	$2,094.60	$3,889.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,291.20 / $32,492.16	Facility		$55.00	$26,291.20	$32,492.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,429.12 / $12,737.20 / $15,163.05	Professional		$12,429.12	$12,737.20	$15,163.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,716.35 / $2,198.00 / $2,964.51	Facility		$1,716.35	$2,198.00	$2,964.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,703.45 / $2,125.83 / $4,864.68	Professional		$1,703.45	$2,125.83	$4,864.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,664.73 / $5,664.73 / $5,664.73	Professional		$5,664.73	$5,664.73	$5,664.73
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $909.16 / $1,492.72 / $2,052.48	Professional		$909.16	$1,492.72	$2,052.48
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 $1,495.26 / $2,112.59 / $4,794.17	Professional		$1,495.26	$2,112.59	$4,794.17