Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.81 / $10,061.00 / $20,509.00	Facility		$1,585.81	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.30 / $1,585.81 / $11,921.30	Professional		$1,430.30	$1,585.81	$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 $2,024.47 / $2,792.72 / $5,619.22	Professional		$2,024.47	$2,792.72	$5,619.22
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 $1,146.44 / $1,758.59 / $4,162.97	Professional		$1,146.44	$1,758.59	$4,162.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,607.08 / $2,567.53 / $6,448.97	Professional		$1,607.08	$2,567.53	$6,448.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.55 / $1,556.86 / $2,934.92	Professional		$1,234.55	$1,556.86	$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 $1,972.87 / $2,664.78 / $3,668.13	Facility		$1,972.87	$2,664.78	$3,668.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,607.08 / $2,666.75 / $6,209.53	Professional		$1,607.08	$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 $1,234.55 / $2,023.92 / $2,709.42	Professional		$1,234.55	$2,023.92	$2,709.42
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 $1,583.71 / $2,464.67 / $6,266.75	Professional		$1,583.71	$2,464.67	$6,266.75