Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.88 / $9,639.00 / $20,509.00	Facility		$1,777.88	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,600.68 / $1,777.88 / $8,911.95	Professional		$1,600.68	$1,777.88	$8,911.95
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 $2,077.35 / $3,185.48 / $5,885.00	Professional		$2,077.35	$3,185.48	$5,885.00
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 $1,302.29 / $2,001.76 / $4,433.85	Professional		$1,302.29	$2,001.76	$4,433.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.52 / $2,226.31 / $5,624.29	Professional		$1,798.52	$2,226.31	$5,624.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,383.47 / $1,727.85 / $2,075.21	Professional		$1,383.47	$1,727.85	$2,075.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,555.07 / $2,023.63 / $3,710.29	Professional		$1,555.07	$2,023.63	$3,710.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,754.40 / $31,662.40	Facility		$55.00	$25,754.40	$31,662.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,101.20 / $12,414.72 / $14,834.18	Professional		$12,101.20	$12,414.72	$14,834.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,681.88 / $2,119.17 / $3,016.10	Facility		$1,681.88	$2,119.17	$3,016.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,811.04 / $2,233.50 / $5,385.36	Professional		$1,811.04	$2,233.50	$5,385.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,529.71 / $5,529.71 / $5,529.71	Professional		$5,529.71	$5,529.71	$5,529.71
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,383.47 / $1,798.51 / $2,351.89	Professional		$1,383.47	$1,798.51	$2,351.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,484.01 / $2,168.71 / $4,694.59	Professional		$1,484.01	$2,168.71	$4,694.59