Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,873.02 / $10,051.00 / $20,509.00	Facility		$1,873.02	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,558.65 / $1,873.02 / $9,964.12	Professional		$1,558.65	$1,873.02	$9,964.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,521.73 / $3,258.31 / $6,354.78	Professional		$2,521.73	$3,258.31	$6,354.78
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 $1,328.71 / $2,065.51 / $5,025.92	Professional		$1,328.71	$2,065.51	$5,025.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,843.25 / $2,464.44 / $6,862.61	Professional		$1,843.25	$2,464.44	$6,862.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,414.74 / $2,125.32 / $2,550.38	Professional		$1,414.74	$2,125.32	$2,550.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,922.17 / $2,507.89 / $4,452.47	Professional		$1,922.17	$2,507.89	$4,452.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,761.48 / $27,571.20	Facility		$55.00	$22,761.48	$27,571.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,830.79 / $15,830.79 / $17,933.03	Professional		$15,830.79	$15,830.79	$17,933.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,015.12 / $2,509.46 / $3,740.49	Facility		$2,015.12	$2,509.46	$3,740.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,843.25 / $2,554.10 / $5,459.05	Professional		$1,843.25	$2,554.10	$5,459.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,182.56 / $6,182.56 / $6,182.56	Professional		$6,182.56	$6,182.56	$6,182.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,414.74 / $2,122.11 / $2,676.15	Professional		$1,414.74	$2,122.11	$2,676.15
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 $1,609.45 / $2,299.19 / $6,346.86	Professional		$1,609.45	$2,299.19	$6,346.86