Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,656.61 / $9,639.00 / $20,509.00	Facility		$1,656.61	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,515.52 / $1,656.61 / $8,825.66	Professional		$1,515.52	$1,656.61	$8,825.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,765.00 / $8,612.00 / $18,150.00	Facility		$3,765.00	$8,612.00	$18,150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,773.38 / $2,910.69 / $5,797.32	Professional		$1,773.38	$2,910.69	$5,797.32
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 $1,287.57 / $1,973.94 / $4,322.14	Professional		$1,287.57	$1,973.94	$4,322.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,702.83 / $2,106.62 / $5,236.78	Professional		$1,702.83	$2,106.62	$5,236.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,253.60	Professional		$1,191.35	$1,502.40	$2,253.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,595.32 / $2,007.40 / $3,727.06	Professional		$1,595.32	$2,007.40	$3,727.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,202.72 / $31,190.56	Facility		$55.00	$25,202.72	$31,190.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,971.52 / $12,257.84 / $14,486.55	Professional		$11,971.52	$12,257.84	$14,486.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,672.83 / $2,215.73 / $2,970.33	Facility		$1,672.83	$2,215.73	$2,970.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,672.85 / $2,089.38 / $4,883.10	Professional		$1,672.85	$2,089.38	$4,883.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,476.16 / $5,476.16 / $5,476.16	Professional		$5,476.16	$5,476.16	$5,476.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,667.90 / $2,253.60	Professional		$1,191.35	$1,667.90	$2,253.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.36 / $2,043.26 / $4,487.97	Professional		$1,454.36	$2,043.26	$4,487.97