Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,597.00 / $5,717.00 / $17,054.00	Facility		$1,597.00	$5,717.00	$17,054.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,421.18 / $1,597.00 / $8,930.48	Professional		$1,421.18	$1,597.00	$8,930.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,241.00 / $18,708.00	Facility		$3,145.00	$9,241.00	$18,708.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,937.17 / $2,539.01 / $4,881.66	Professional		$1,937.17	$2,539.01	$4,881.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,012.46	Facility		$66.00	$100.00	$11,012.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,157.80 / $1,776.49 / $4,379.46	Professional		$1,157.80	$1,776.49	$4,379.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,596.84 / $2,149.52 / $5,821.39	Professional		$1,596.84	$2,149.52	$5,821.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.54 / $1,946.83 / $2,336.19	Professional		$1,250.54	$1,946.83	$2,336.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,745.60 / $2,238.85 / $3,966.27	Professional		$1,745.60	$2,238.85	$3,966.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $12,855.68 / $16,241.92	Facility		$55.00	$12,855.68	$16,241.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,514.24 / $12,860.16 / $14,662.88	Professional		$12,514.24	$12,860.16	$14,662.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,597.00 / $2,130.41 / $2,974.70	Facility		$1,597.00	$2,130.41	$2,974.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,596.84 / $2,222.96 / $4,804.24	Professional		$1,596.84	$2,222.96	$4,804.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,541.21 / $5,541.21 / $5,541.21	Professional		$5,541.21	$5,541.21	$5,541.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,250.54 / $1,767.54 / $2,160.32	Professional		$1,250.54	$1,767.54	$2,160.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $7,454.00 / $16,148.00	Facility		$3,800.00	$7,454.00	$16,148.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,332.18 / $1,889.25 / $5,685.54	Professional		$1,332.18	$1,889.25	$5,685.54