Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.75 / $10,061.00 / $20,509.00	Facility		$1,318.75	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,186.90 / $1,318.75 / $11,358.30	Professional		$1,186.90	$1,318.75	$11,358.30
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 $1,708.98 / $2,329.21 / $4,757.97	Professional		$1,708.98	$2,329.21	$4,757.97
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 $939.39 / $1,441.70 / $3,514.43	Professional		$939.39	$1,441.70	$3,514.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,333.60 / $2,477.94 / $6,146.07	Professional		$1,333.60	$2,477.94	$6,146.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,502.40 / $2,800.16	Professional		$1,191.35	$1,502.40	$2,800.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,081.61 / $2,622.55 / $4,878.92	Professional		$2,081.61	$2,622.55	$4,878.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $32,848.64 / $40,539.83	Facility		$55.00	$32,848.64	$40,539.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,501.36 / $15,864.88 / $18,984.00	Professional		$15,501.36	$15,864.88	$18,984.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,614.81 / $2,497.92 / $3,383.53	Facility		$1,614.81	$2,497.92	$3,383.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,333.60 / $2,540.39 / $5,915.72	Professional		$1,333.60	$2,540.39	$5,915.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,047.63 / $7,047.63 / $7,047.63	Professional		$7,047.63	$7,047.63	$7,047.63
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,191.35 / $1,953.12 / $2,585.08	Professional		$1,191.35	$1,953.12	$2,585.08
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 $1,385.41 / $2,334.42 / $7,293.95	Professional		$1,385.41	$2,334.42	$7,293.95