Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,767.40 / $9,639.00 / $20,509.00	Facility		$1,767.40	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,470.86 / $1,767.40 / $8,395.62	Professional		$1,470.86	$1,767.40	$8,395.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $10,705.00 / $22,232.00	Facility		$4,437.00	$10,705.00	$22,232.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,126.83 / $2,684.35 / $5,207.91	Professional		$2,126.83	$2,684.35	$5,207.91
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $8,138.75	Facility		$64.20	$100.00	$8,138.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,044.69 / $1,620.62 / $3,951.60	Professional		$1,044.69	$1,620.62	$3,951.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,638.44 / $2,195.96 / $6,364.52	Professional		$1,638.44	$2,195.96	$6,364.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $1,954.39	Professional		$1,011.91	$1,531.32	$1,954.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,520.76 / $1,970.26 / $3,479.39	Professional		$1,520.76	$1,970.26	$3,479.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,496.37 / $20,343.73	Facility		$55.00	$16,496.37	$20,343.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,288.48 / $11,601.44 / $13,826.40	Professional		$11,288.48	$11,601.44	$13,826.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,588.58 / $2,048.54 / $2,973.23	Facility		$1,588.58	$2,048.54	$2,973.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,638.44 / $2,195.96 / $5,140.03	Professional		$1,638.44	$2,195.96	$5,140.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,209.32 / $5,209.32 / $5,209.32	Professional		$5,209.32	$5,209.32	$5,209.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,533.22 / $1,914.15	Professional		$1,011.91	$1,533.22	$1,914.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,108.00 / $18,709.00	Facility		$1,930.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,352.93 / $1,977.02 / $5,889.32	Professional		$1,352.93	$1,977.02	$5,889.32