Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.18 / $10,051.00 / $20,509.00	Facility		$1,925.18	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,638.54 / $1,830.35 / $9,260.66	Professional		$1,638.54	$1,830.35	$9,260.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,450.00 / $21,131.00	Facility		$4,446.00	$10,450.00	$21,131.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,030.21 / $2,634.60 / $5,200.43	Professional		$2,030.21	$2,634.60	$5,200.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $100.00 / $7,343.60	Facility		$63.90	$100.00	$7,343.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,191.08 / $1,829.07 / $4,505.35	Professional		$1,191.08	$1,829.07	$4,505.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,706.44 / $2,298.65 / $7,024.25	Professional		$1,706.44	$2,298.65	$7,024.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.20 / $1,933.85 / $2,320.62	Professional		$1,489.20	$1,933.85	$2,320.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,740.47 / $2,227.91 / $4,013.55	Professional		$1,740.47	$2,227.91	$4,013.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,895.04 / $16,315.76	Facility		$55.00	$12,895.04	$16,315.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,890.00 / $13,038.08 / $14,530.58	Professional		$12,890.00	$13,038.08	$14,530.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,802.68 / $2,402.02 / $3,391.50	Facility		$1,802.68	$2,402.02	$3,391.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,740.87 / $2,301.67 / $4,980.60	Professional		$1,740.87	$2,301.67	$4,980.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,746.08 / $5,746.08 / $5,746.08	Professional		$5,746.08	$5,746.08	$5,746.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,489.20 / $2,146.66 / $2,817.00	Professional		$1,489.20	$2,146.66	$2,817.00
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 $1,425.76 / $2,112.39 / $5,487.45	Professional		$1,425.76	$2,112.39	$5,487.45