Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.98 / $9,639.00 / $20,509.00	Facility		$1,532.98	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,395.13 / $1,532.98 / $7,936.88	Professional		$1,395.13	$1,532.98	$7,936.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $9,684.00 / $20,676.56	Facility		$4,597.00	$9,684.00	$20,676.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,017.37 / $2,782.92 / $5,199.10	Professional		$2,017.37	$2,782.92	$5,199.10
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 $1,177.41 / $1,806.56 / $3,955.64	Professional		$1,177.41	$1,806.56	$3,955.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,498.86 / $1,903.14 / $4,700.76	Professional		$1,498.86	$1,903.14	$4,700.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,223.75 / $1,543.25 / $2,062.16	Professional		$1,223.75	$1,543.25	$2,062.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,427.65 / $1,800.97 / $3,340.81	Professional		$1,427.65	$1,800.97	$3,340.81
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,634.08 / $28,000.00	Facility		$55.00	$22,634.08	$28,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,745.92 / $11,005.04 / $13,009.50	Professional		$10,745.92	$11,005.04	$13,009.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,518.55 / $2,023.46 / $2,567.10	Facility		$1,518.55	$2,023.46	$2,567.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,500.81 / $1,888.56 / $4,353.00	Professional		$1,500.81	$1,888.56	$4,353.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,924.68 / $4,924.68 / $4,924.68	Professional		$4,924.68	$4,924.68	$4,924.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,223.75 / $1,713.25 / $2,314.87	Professional		$1,223.75	$1,713.25	$2,314.87
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 $1,302.98 / $1,868.83 / $4,342.39	Professional		$1,302.98	$1,868.83	$4,342.39