Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,708.56 / $10,051.00 / $20,509.00	Facility		$1,708.56	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.39 / $1,708.56 / $9,273.41	Professional		$1,519.39	$1,708.56	$9,273.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,446.00 / $10,250.00 / $20,786.00	Facility		$4,446.00	$10,250.00	$20,786.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,056.42 / $2,695.30 / $5,182.18	Professional		$2,056.42	$2,695.30	$5,182.18
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 $1,245.94 / $1,921.91 / $4,712.85	Professional		$1,245.94	$1,921.91	$4,712.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.37 / $2,227.02 / $6,124.49	Professional		$1,698.37	$2,227.02	$6,124.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,517.06 / $1,920.50 / $2,304.60	Professional		$1,517.06	$1,920.50	$2,304.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,746.42 / $2,263.83 / $4,028.71	Professional		$1,746.42	$2,263.83	$4,028.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,372.18 / $18,974.16	Facility		$55.00	$15,372.18	$18,974.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,714.40 / $13,112.00 / $15,920.33	Professional		$12,714.40	$13,112.00	$15,920.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,811.06 / $2,247.78 / $3,072.80	Facility		$1,811.06	$2,247.78	$3,072.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.37 / $2,319.80 / $5,046.99	Professional		$1,698.37	$2,319.80	$5,046.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,753.97 / $5,753.97 / $5,753.97	Professional		$5,753.97	$5,753.97	$5,753.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,517.06 / $2,123.88 / $2,579.00	Professional		$1,517.06	$2,123.88	$2,579.00
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 $1,417.77 / $2,022.32 / $5,792.66	Professional		$1,417.77	$2,022.32	$5,792.66