Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $7,108.00 / $17,902.00	Facility		$2,197.85	$7,108.00	$17,902.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,435.92 / $1,554.54 / $8,865.75	Professional		$1,435.92	$1,554.54	$8,865.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,216.00 / $21,514.00	Facility		$3,612.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,204.32 / $3,042.20 / $5,685.27	Professional		$2,204.32	$3,042.20	$5,685.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $12,942.43	Facility		$66.00	$100.00	$12,942.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,127.08 / $1,672.47 / $3,759.27	Professional		$1,127.08	$1,672.47	$3,759.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,665.60 / $2,067.86 / $5,297.02	Professional		$1,665.60	$2,067.86	$5,297.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,327.62 / $1,813.55 / $2,176.26	Professional		$1,327.62	$1,813.55	$2,176.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.41 / $2,044.27 / $3,799.07	Professional		$1,621.41	$2,044.27	$3,799.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,625.18 / $21,730.61	Facility		$55.00	$17,625.18	$21,730.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,089.76 / $12,370.72 / $14,815.65	Professional		$12,089.76	$12,370.72	$14,815.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,677.26 / $2,086.88 / $2,901.68	Facility		$1,677.26	$2,086.88	$2,901.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,680.08 / $2,070.90 / $4,885.29	Professional		$1,680.08	$2,070.90	$4,885.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,501.03 / $5,501.03 / $5,501.03	Professional		$5,501.03	$5,501.03	$5,501.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,327.62 / $1,725.91 / $2,256.96	Professional		$1,327.62	$1,725.91	$2,256.96
United Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $13,722.00 / $29,571.00	Facility		$7,212.00	$13,722.00	$29,571.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.55 / $2,081.86 / $4,962.66	Professional		$1,454.55	$2,081.86	$4,962.66