Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,886.96 / $10,051.00 / $20,509.00	Facility		$1,886.96	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,703.21 / $1,886.96 / $9,588.99	Professional		$1,703.21	$1,886.96	$9,588.99
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 $2,564.14 / $3,492.83 / $6,331.35	Professional		$2,564.14	$3,492.83	$6,331.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,401.31 / $2,153.19 / $4,769.76	Professional		$1,401.31	$2,153.19	$4,769.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,897.24 / $2,380.92 / $6,050.90	Professional		$1,897.24	$2,380.92	$6,050.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,488.46 / $1,857.12 / $2,232.69	Professional		$1,488.46	$1,857.12	$2,232.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,671.41 / $2,177.17 / $3,989.94	Professional		$1,671.41	$2,177.17	$3,989.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,718.88 / $34,074.87	Facility		$55.00	$27,718.88	$34,074.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,020.96 / $13,360.08 / $15,966.08	Professional		$13,020.96	$13,360.08	$15,966.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,787.99 / $2,268.17 / $3,245.29	Facility		$1,787.99	$2,268.17	$3,245.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,913.72 / $2,395.29 / $5,727.56	Professional		$1,913.72	$2,395.29	$5,727.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,949.78 / $5,949.78 / $5,949.78	Professional		$5,949.78	$5,949.78	$5,949.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,488.46 / $1,934.99 / $2,530.37	Professional		$1,488.46	$1,934.99	$2,530.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,426.00 / $18,709.00	Facility		$1,940.00	$6,426.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,604.58 / $2,280.85 / $5,012.49	Professional		$1,604.58	$2,280.85	$5,012.49