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 $1,430.64 / $1,608.18 / $8,930.48	Professional		$1,430.64	$1,608.18	$8,930.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $10,117.00 / $20,418.00	Facility		$4,314.00	$10,117.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,954.39 / $2,561.58 / $4,925.06	Professional		$1,954.39	$2,561.58	$4,925.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,198.39 / $1,848.22 / $4,533.01	Professional		$1,198.39	$1,848.22	$4,533.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,536.73 / $2,084.84 / $5,830.61	Professional		$1,536.73	$2,084.84	$5,830.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,253.07 / $1,946.83 / $2,336.19	Professional		$1,253.07	$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 $1,608.18 / $2,131.80 / $3,068.66	Facility		$1,608.18	$2,131.80	$3,068.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,567.92 / $2,222.96 / $4,733.37	Professional		$1,567.92	$2,222.96	$4,733.37
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 $1,253.07 / $1,767.54 / $2,160.32	Professional		$1,253.07	$1,767.54	$2,160.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,116.00 / $9,810.00 / $22,073.00	Facility		$5,116.00	$9,810.00	$22,073.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,332.18 / $2,000.16 / $6,026.11	Professional		$1,332.18	$2,000.16	$6,026.11