Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.15 / $10,051.00 / $20,509.00	Facility		$1,862.15	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,551.11 / $1,862.15 / $9,919.41	Professional		$1,551.11	$1,862.15	$9,919.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,223.00 / $26,368.88	Facility		$4,437.00	$11,223.00	$26,368.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,509.67 / $3,242.09 / $6,227.81	Professional		$2,509.67	$3,242.09	$6,227.81
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 $1,310.91 / $2,028.93 / $4,958.60	Professional		$1,310.91	$2,028.93	$4,958.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,834.36 / $2,452.86 / $6,665.64	Professional		$1,834.36	$2,452.86	$6,665.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $811.99 / $1,228.78 / $2,532.12	Professional		$811.99	$1,228.78	$2,532.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,910.67 / $2,493.60 / $4,424.71	Professional		$1,910.67	$2,493.60	$4,424.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,645.56 / $27,428.88	Facility		$55.00	$22,645.56	$27,428.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,922.11 / $14,039.20 / $17,843.18	Professional		$13,922.11	$14,039.20	$17,843.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,009.93 / $2,495.96 / $3,682.20	Facility		$2,009.93	$2,495.96	$3,682.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,834.36 / $2,547.71 / $5,433.38	Professional		$1,834.36	$2,547.71	$5,433.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,154.81 / $6,154.81 / $6,154.81	Professional		$6,154.81	$6,154.81	$6,154.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $811.99 / $1,433.57 / $2,334.53	Professional		$811.99	$1,433.57	$2,334.53
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 $1,603.01 / $2,298.21 / $7,083.85	Professional		$1,603.01	$2,298.21	$7,083.85