Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.21 / $10,061.00 / $20,509.00	Facility		$2,288.21	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,023.92 / $2,227.39 / $10,503.00	Professional		$2,023.92	$2,227.39	$10,503.00
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 $2,531.16 / $3,796.37 / $6,940.34	Professional		$2,531.16	$3,796.37	$6,940.34
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 $1,480.12 / $2,274.23 / $5,067.46	Professional		$1,480.12	$2,274.23	$5,067.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,131.92 / $2,694.41 / $6,623.53	Professional		$2,131.92	$2,694.41	$6,623.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.80 / $2,030.79 / $2,640.03	Professional		$1,905.80	$2,030.79	$2,640.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.71 / $2,382.48 / $4,365.22	Professional		$1,827.71	$2,382.48	$4,365.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,348.80 / $37,312.00	Facility		$55.00	$30,348.80	$37,312.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,123.51 / $21,123.51 / $21,123.51	Professional		$21,123.51	$21,123.51	$21,123.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,985.41 / $2,540.84 / $3,555.79	Facility		$1,985.41	$2,540.84	$3,555.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,117.37 / $2,699.45 / $6,122.03	Professional		$2,117.37	$2,699.45	$6,122.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,516.92 / $6,516.92 / $6,516.92	Professional		$6,516.92	$6,516.92	$6,516.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,838.99 / $2,247.65 / $3,239.87	Professional		$1,838.99	$2,247.65	$3,239.87
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 $1,757.99 / $2,485.42 / $5,847.10	Professional		$1,757.99	$2,485.42	$5,847.10