Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.11 / $10,061.00 / $20,509.00	Facility		$1,496.11	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,346.22 / $1,496.11 / $11,057.50	Professional		$1,346.22	$1,496.11	$11,057.50
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 $1,913.42 / $2,639.53 / $5,310.98	Professional		$1,913.42	$2,639.53	$5,310.98
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 $1,080.63 / $1,659.17 / $3,938.57	Professional		$1,080.63	$1,659.17	$3,938.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,512.60 / $2,414.40 / $5,985.05	Professional		$1,512.60	$2,414.40	$5,985.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,726.80	Professional		$1,191.35	$1,502.40	$2,726.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,027.14 / $2,554.09 / $4,751.34	Professional		$2,027.14	$2,554.09	$4,751.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,992.96 / $39,470.56	Facility		$55.00	$31,992.96	$39,470.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,095.60 / $15,445.92 / $18,490.65	Professional		$15,095.60	$15,445.92	$18,490.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,856.90 / $2,526.23 / $3,294.88	Facility		$1,856.90	$2,526.23	$3,294.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,512.60 / $2,473.29 / $5,761.18	Professional		$1,512.60	$2,473.29	$5,761.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,860.96 / $6,860.96 / $6,860.96	Professional		$6,860.96	$6,860.96	$6,860.96
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,953.12 / $2,517.33	Professional		$1,191.35	$1,953.12	$2,517.33
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 $1,548.14 / $2,296.04 / $7,666.36	Professional		$1,548.14	$2,296.04	$7,666.36