Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.56 / $9,639.00 / $20,509.00	Facility		$1,534.56	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,283.36 / $1,534.56 / $8,553.50	Professional		$1,283.36	$1,534.56	$8,553.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,521.00 / $27,257.00	Facility		$4,597.00	$11,521.00	$27,257.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,123.19 / $2,762.20 / $5,273.52	Professional		$2,123.19	$2,762.20	$5,273.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,057.48 / $1,636.48 / $3,999.98	Professional		$1,057.48	$1,636.48	$3,999.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,562.81 / $2,091.90 / $5,629.80	Professional		$1,562.81	$2,091.90	$5,629.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.38 / $1,538.09 / $2,200.52	Professional		$1,016.38	$1,538.09	$2,200.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,654.36 / $2,157.29 / $3,834.25	Professional		$1,654.36	$2,157.29	$3,834.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,554.96 / $23,693.88	Facility		$55.00	$19,554.96	$23,693.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,521.57 / $14,521.57 / $15,405.68	Professional		$14,521.57	$14,521.57	$15,405.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,690.56 / $2,124.01 / $2,934.03	Facility		$1,690.56	$2,124.01	$2,934.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,533.32 / $2,131.31 / $4,693.26	Professional		$1,533.32	$2,131.31	$4,693.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,307.29 / $5,307.29 / $5,307.29	Professional		$5,307.29	$5,307.29	$5,307.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,016.38 / $1,666.26 / $2,029.06	Professional		$1,016.38	$1,666.26	$2,029.06
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 $1,379.56 / $1,990.53 / $5,861.29	Professional		$1,379.56	$1,990.53	$5,861.29