Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.06 / $9,639.00 / $20,509.00	Facility		$1,790.06	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,529.39 / $1,725.23 / $8,623.17	Professional		$1,529.39	$1,725.23	$8,623.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,163.93 / $20,418.00	Facility		$4,314.00	$10,163.93	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,841.85 / $2,414.88 / $4,701.66	Professional		$1,841.85	$2,414.88	$4,701.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,201.60 / $1,849.46 / $4,510.77	Professional		$1,201.60	$1,849.46	$4,510.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,620.54 / $2,139.71 / $6,348.54	Professional		$1,620.54	$2,139.71	$6,348.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,299.70 / $1,801.64 / $2,161.96	Professional		$1,299.70	$1,801.64	$2,161.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.48 / $2,075.52 / $3,694.48	Professional		$1,621.48	$2,075.52	$3,694.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,510.29 / $13,303.15	Facility		$55.00	$10,510.29	$13,303.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,536.30 / $15,376.51 / $15,883.93	Professional		$13,536.30	$15,376.51	$15,883.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,599.59 / $2,087.08 / $3,076.91	Facility		$1,599.59	$2,087.08	$3,076.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,638.08 / $2,145.16 / $4,615.34	Professional		$1,638.08	$2,145.16	$4,615.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,350.52 / $5,350.52 / $5,350.52	Professional		$5,350.52	$5,350.52	$5,350.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,299.70 / $1,949.55 / $2,458.54	Professional		$1,299.70	$1,949.55	$2,458.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,368.52 / $2,001.19 / $5,230.32	Professional		$1,368.52	$2,001.19	$5,230.32