Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.64 / $10,061.00 / $20,509.00	Facility		$1,425.64	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.82 / $1,425.64 / $11,921.30	Professional		$1,283.82	$1,425.64	$11,921.30
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 $1,834.06 / $2,524.42 / $5,111.62	Professional		$1,834.06	$2,524.42	$5,111.62
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 $1,015.53 / $1,551.96 / $3,756.30	Professional		$1,015.53	$1,551.96	$3,756.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,442.50 / $2,598.84 / $6,448.97	Professional		$1,442.50	$2,598.84	$6,448.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,934.92	Professional		$1,191.35	$1,502.40	$2,934.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,183.14 / $2,751.10 / $5,116.47	Professional		$2,183.14	$2,751.10	$5,116.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $34,470.87 / $42,530.72	Facility		$55.00	$34,470.87	$42,530.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,263.12 / $16,643.84 / $19,921.80	Professional		$16,263.12	$16,643.84	$19,921.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,731.00 / $2,619.77 / $3,546.37	Facility		$1,731.00	$2,619.77	$3,546.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,442.50 / $2,666.75 / $6,209.53	Professional		$1,442.50	$2,666.75	$6,209.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,396.92 / $7,396.92 / $7,396.92	Professional		$7,396.92	$7,396.92	$7,396.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,970.49 / $2,709.42	Professional		$1,191.35	$1,970.49	$2,709.42
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 $1,454.64 / $2,437.21 / $6,266.75	Professional		$1,454.64	$2,437.21	$6,266.75