Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.77 / $9,639.00 / $20,509.00	Facility		$1,757.77	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,609.84 / $1,757.77 / $8,589.70	Professional		$1,609.84	$1,757.77	$8,589.70
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 $2,378.80 / $3,184.15 / $5,756.94	Professional		$2,378.80	$3,184.15	$5,756.94
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 $1,391.15 / $2,138.23 / $4,559.91	Professional		$1,391.15	$2,138.23	$4,559.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,731.76 / $2,139.59 / $5,135.91	Professional		$1,731.76	$2,139.59	$5,135.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,167.80	Professional		$1,191.35	$1,502.40	$2,167.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,500.79 / $1,952.40 / $3,580.12	Professional		$1,500.79	$1,952.40	$3,580.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,844.96 / $30,538.56	Facility		$55.00	$24,844.96	$30,538.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,689.00 / $12,689.00 / $14,311.50	Professional		$12,689.00	$12,689.00	$14,311.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,656.17 / $2,280.44 / $2,992.41	Facility		$1,656.17	$2,280.44	$2,992.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,731.76 / $2,148.52 / $4,822.74	Professional		$1,731.76	$2,148.52	$4,822.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,329.76 / $5,329.76 / $5,329.76	Professional		$5,329.76	$5,329.76	$5,329.76
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 $1,423.19 / $2,030.73 / $4,687.02	Professional		$1,423.19	$2,030.73	$4,687.02