Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,595.55 / $9,639.00 / $20,509.00	Facility		$1,595.55	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.39 / $1,535.92 / $6,492.15	Professional		$1,401.39	$1,535.92	$6,492.15
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 $2,132.21 / $2,762.07 / $5,373.17	Professional		$2,132.21	$2,762.07	$5,373.17
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 $1,150.65 / $1,789.36 / $4,352.43	Professional		$1,150.65	$1,789.36	$4,352.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.20 / $2,094.03 / $5,829.69	Professional		$1,582.20	$2,094.03	$5,829.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,190.90	Professional		$1,011.91	$1,531.32	$2,190.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,643.18 / $2,136.46 / $3,804.75	Professional		$1,643.18	$2,136.46	$3,804.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $19,323.36 / $23,445.24	Facility		$55.00	$19,323.36	$23,445.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,280.36 / $14,280.36 / $15,217.50	Professional		$14,280.36	$14,280.36	$15,217.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,719.29 / $2,137.92 / $3,100.80	Facility		$1,719.29	$2,137.92	$3,100.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,561.22 / $2,168.37 / $4,639.14	Professional		$1,561.22	$2,168.37	$4,639.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,241.31 / $5,241.31 / $5,241.31	Professional		$5,241.31	$5,241.31	$5,241.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,658.93 / $2,020.51	Professional		$1,011.91	$1,658.93	$2,020.51
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 $1,360.39 / $1,974.68 / $5,485.26	Professional		$1,360.39	$1,974.68	$5,485.26