Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.59 / $10,061.00 / $20,509.00	Facility		$1,772.59	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.63 / $1,814.97 / $10,735.20	Professional		$1,513.63	$1,814.97	$10,735.20
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 $2,306.75 / $3,023.40 / $5,892.59	Professional		$2,306.75	$3,023.40	$5,892.59
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 $1,263.08 / $1,981.81 / $4,829.08	Professional		$1,263.08	$1,981.81	$4,829.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.86 / $2,542.05 / $6,607.24	Professional		$1,659.86	$2,542.05	$6,607.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,117.27 / $1,690.76 / $2,781.01	Professional		$1,117.27	$1,690.76	$2,781.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,070.13 / $2,665.14 / $4,738.95	Professional		$2,070.13	$2,665.14	$4,738.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,494.32 / $28,901.40	Facility		$55.00	$23,494.32	$28,901.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,424.80 / $14,837.84 / $18,473.40	Professional		$14,424.80	$14,837.84	$18,473.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,991.46 / $2,521.81 / $3,376.48	Facility		$1,991.46	$2,521.81	$3,376.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,674.73 / $2,578.57 / $5,594.06	Professional		$1,674.73	$2,578.57	$5,594.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,660.98 / $6,660.98 / $6,660.98	Professional		$6,660.98	$6,660.98	$6,660.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,117.27 / $1,899.36 / $2,566.96	Professional		$1,117.27	$1,899.36	$2,566.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,512.91 / $2,314.51 / $6,515.12	Professional		$1,512.91	$2,314.51	$6,515.12