Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,648.32 / $10,051.00 / $20,509.00	Facility		$1,648.32	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,466.62 / $1,648.32 / $9,083.46	Professional		$1,466.62	$1,648.32	$9,083.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $11,380.47 / $22,032.00	Facility		$4,667.00	$11,380.47	$22,032.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,988.93 / $2,606.85 / $5,012.09	Professional		$1,988.93	$2,606.85	$5,012.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,051.14 / $1,611.94 / $3,976.02	Professional		$1,051.14	$1,611.94	$3,976.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,606.50 / $2,177.17 / $5,911.83	Professional		$1,606.50	$2,177.17	$5,911.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,352.89 / $1,815.36 / $2,178.42	Professional		$1,352.89	$1,815.36	$2,178.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,633.82 / $2,092.82 / $3,733.64	Professional		$1,633.82	$2,092.82	$3,733.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,767.48 / $17,402.75	Facility		$55.00	$13,767.48	$17,402.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,703.08 / $14,703.08 / $14,703.08	Professional		$14,703.08	$14,703.08	$14,703.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,651.66 / $2,080.98 / $2,904.58	Facility		$1,651.66	$2,080.98	$2,904.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,606.50 / $2,186.23 / $4,719.41	Professional		$1,606.50	$2,186.23	$4,719.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,636.11 / $5,636.11 / $5,636.11	Professional		$5,636.11	$5,636.11	$5,636.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,352.89 / $1,894.04 / $2,299.91	Professional		$1,352.89	$1,894.04	$2,299.91
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 $1,365.16 / $1,935.66 / $5,528.21	Professional		$1,365.16	$1,935.66	$5,528.21