Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.54 / $9,639.00 / $20,509.00	Facility		$1,727.54	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,582.74 / $1,727.54 / $8,999.11	Professional		$1,582.74	$1,727.54	$8,999.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,623.15 / $2,924.99 / $5,955.46	Professional		$1,623.15	$2,924.99	$5,955.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,360.11 / $2,089.52 / $4,501.53	Professional		$1,360.11	$2,089.52	$4,501.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,739.02 / $2,134.03 / $5,308.02	Professional		$1,739.02	$2,134.03	$5,308.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $714.44 / $900.97 / $1,972.31	Professional		$714.44	$900.97	$1,972.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.23 / $1,924.01 / $3,528.38	Professional		$1,479.23	$1,924.01	$3,528.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,481.92 / $30,098.88	Facility		$55.00	$24,481.92	$30,098.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,503.60 / $11,802.08 / $14,102.03	Professional		$11,503.60	$11,802.08	$14,102.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,556.96 / $1,972.31 / $2,924.71	Facility		$1,556.96	$1,972.31	$2,924.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,738.14 / $2,123.33 / $5,010.66	Professional		$1,738.14	$2,123.33	$5,010.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,583.77 / $5,583.77 / $5,583.77	Professional		$5,583.77	$5,583.77	$5,583.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $714.44 / $1,214.55 / $1,819.20	Professional		$714.44	$1,214.55	$1,819.20
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 $1,485.74 / $2,098.33 / $5,021.83	Professional		$1,485.74	$2,098.33	$5,021.83