Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.98 / $9,639.00 / $20,509.00	Facility		$1,671.98	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.40 / $1,615.31 / $7,593.80	Professional		$1,461.40	$1,615.31	$7,593.80
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 $2,129.55 / $2,856.43 / $5,164.43	Professional		$2,129.55	$2,856.43	$5,164.43
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 $1,211.74 / $1,860.04 / $3,980.54	Professional		$1,211.74	$1,860.04	$3,980.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,520.04 / $1,882.30 / $4,536.17	Professional		$1,520.04	$1,882.30	$4,536.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.48 / $1,415.54 / $1,921.10	Professional		$1,122.48	$1,415.54	$1,921.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,329.99 / $1,726.97 / $3,170.02	Professional		$1,329.99	$1,726.97	$3,170.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,097.61 / $18,573.83	Facility		$55.00	$15,097.61	$18,573.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,804.00 / $14,804.00 / $14,804.00	Professional		$14,804.00	$14,804.00	$14,804.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,512.38 / $2,035.29 / $2,803.16	Facility		$1,512.38	$2,035.29	$2,803.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,520.04 / $1,893.78 / $4,261.88	Professional		$1,520.04	$1,893.78	$4,261.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,711.81 / $4,711.81 / $4,711.81	Professional		$4,711.81	$4,711.81	$4,711.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.48 / $1,571.48 / $2,123.31	Professional		$1,122.48	$1,571.48	$2,123.31
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 $1,263.71 / $1,818.44 / $3,942.00	Professional		$1,263.71	$1,818.44	$3,942.00