Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,785.48 / $10,051.00 / $20,509.00	Facility		$1,785.48	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,574.01 / $1,863.80 / $9,462.04	Professional		$1,574.01	$1,863.80	$9,462.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,825.00 / $26,030.80	Facility		$4,108.00	$10,825.00	$26,030.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,399.10 / $3,099.23 / $6,045.74	Professional		$2,399.10	$3,099.23	$6,045.74
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 $1,269.98 / $1,970.77 / $4,803.80	Professional		$1,269.98	$1,970.77	$4,803.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.37 / $2,332.85 / $6,482.75	Professional		$1,752.37	$2,332.85	$6,482.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $895.38 / $1,354.98 / $2,426.50	Professional		$895.38	$1,354.98	$2,426.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,826.46 / $2,382.31 / $4,231.96	Professional		$1,826.46	$2,382.31	$4,231.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,607.68 / $26,181.60	Facility		$55.00	$21,607.68	$26,181.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,200.36 / $13,402.96 / $17,023.05	Professional		$13,200.36	$13,402.96	$17,023.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,865.33 / $2,323.75 / $3,251.98	Facility		$1,865.33	$2,323.75	$3,251.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,752.37 / $2,375.84 / $5,185.04	Professional		$1,752.37	$2,375.84	$5,185.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,871.04 / $5,871.04 / $5,871.04	Professional		$5,871.04	$5,871.04	$5,871.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $895.38 / $1,580.81 / $2,237.35	Professional		$895.38	$1,580.81	$2,237.35
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 $1,526.85 / $2,126.67 / $6,027.04	Professional		$1,526.85	$2,126.67	$6,027.04