Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,924.76 / $10,061.00 / $20,509.00	Facility		$1,924.76	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,692.86 / $1,924.76 / $10,108.70	Professional		$1,692.86	$1,924.76	$10,108.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,234.59 / $21,555.87	Facility		$4,108.00	$10,234.59	$21,555.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,553.73 / $3,274.79 / $6,064.29	Professional		$2,553.73	$3,274.79	$6,064.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,325.51 / $2,058.19 / $5,013.82	Professional		$1,325.51	$2,058.19	$5,013.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,792.45 / $2,432.85 / $6,513.71	Professional		$1,792.45	$2,432.85	$6,513.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,485.85 / $2,136.55 / $2,563.86	Professional		$1,485.85	$2,136.55	$2,563.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,939.46 / $2,532.73 / $4,488.99	Professional		$1,939.46	$2,532.73	$4,488.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,030.64 / $27,859.80	Facility		$55.00	$23,030.64	$27,859.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,935.84 / $14,256.32 / $18,150.15	Professional		$13,935.84	$14,256.32	$18,150.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,026.19 / $2,521.30 / $3,508.10	Facility		$2,026.19	$2,521.30	$3,508.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,797.34 / $2,503.67 / $5,520.69	Professional		$1,797.34	$2,503.67	$5,520.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,272.23 / $6,272.23 / $6,272.23	Professional		$6,272.23	$6,272.23	$6,272.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,485.85 / $2,228.77 / $2,810.66	Professional		$1,485.85	$2,228.77	$2,810.66
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 $1,634.28 / $2,394.39 / $6,752.88	Professional		$1,634.28	$2,394.39	$6,752.88