Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.60 / $9,639.00 / $20,509.00	Facility		$1,754.60	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,577.46 / $1,738.02 / $8,183.93	Professional		$1,577.46	$1,738.02	$8,183.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,981.00 / $18,903.00	Facility		$4,043.00	$8,981.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,174.69 / $3,077.51 / $5,564.14	Professional		$2,174.69	$3,077.51	$5,564.14
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,310.72 / $2,013.80 / $4,299.14	Professional		$1,310.72	$2,013.80	$4,299.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.92 / $2,093.37 / $5,168.54	Professional		$1,655.92	$2,093.37	$5,168.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $1,505.22 / $2,066.94	Professional		$1,193.58	$1,505.22	$2,066.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,430.96 / $1,860.90 / $3,412.74	Professional		$1,430.96	$1,860.90	$3,412.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,677.92 / $29,090.08	Facility		$55.00	$23,677.92	$29,090.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,122.88 / $11,406.40 / $13,641.60	Professional		$11,122.88	$11,406.40	$13,641.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,593.82 / $2,213.77 / $2,842.90	Facility		$1,593.82	$2,213.77	$2,842.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,655.92 / $2,093.37 / $4,667.59	Professional		$1,655.92	$2,093.37	$4,667.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,077.99 / $5,077.99 / $5,077.99	Professional		$5,077.99	$5,077.99	$5,077.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,193.58 / $1,671.03 / $2,257.83	Professional		$1,193.58	$1,671.03	$2,257.83
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 $1,368.52 / $1,948.54 / $4,332.63	Professional		$1,368.52	$1,948.54	$4,332.63