Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,762.71 / $9,639.00 / $20,509.00	Facility		$1,762.71	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,549.23 / $1,706.77 / $8,036.52	Professional		$1,549.23	$1,706.77	$8,036.52
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 $1,762.62 / $2,920.24 / $5,322.39	Professional		$1,762.62	$2,920.24	$5,322.39
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 $1,278.34 / $1,963.31 / $4,195.03	Professional		$1,278.34	$1,963.31	$4,195.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,602.82 / $2,001.80 / $4,800.83	Professional		$1,602.82	$2,001.80	$4,800.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,030.93	Professional		$1,191.35	$1,502.40	$2,030.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,406.03 / $1,827.58 / $3,352.53	Professional		$1,406.03	$1,827.58	$3,352.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,248.96 / $28,576.96	Facility		$55.00	$23,248.96	$28,576.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,924.80 / $11,205.20 / $13,392.83	Professional		$10,924.80	$11,205.20	$13,392.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,596.07 / $2,129.12 / $2,720.00	Facility		$1,596.07	$2,129.12	$2,720.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,602.82 / $2,003.08 / $4,511.14	Professional		$1,602.82	$2,003.08	$4,511.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,986.50 / $4,986.50 / $4,986.50	Professional		$4,986.50	$4,986.50	$4,986.50
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 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,337.62 / $1,984.15 / $4,475.47	Professional		$1,337.62	$1,984.15	$4,475.47