Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,951.22 / $10,061.00 / $20,509.00	Facility		$1,951.22	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,721.38 / $1,951.22 / $10,484.70	Professional		$1,721.38	$1,951.22	$10,484.70
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 $2,610.28 / $3,421.23 / $6,441.15	Professional		$2,610.28	$3,421.23	$6,441.15
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 $1,325.50 / $2,049.50 / $5,013.79	Professional		$1,325.50	$2,049.50	$5,013.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,926.09 / $2,577.84 / $6,893.41	Professional		$1,926.09	$2,577.84	$6,893.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $962.77 / $1,456.96 / $2,699.05	Professional		$962.77	$1,456.96	$2,699.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,027.89 / $2,643.91 / $4,700.56	Professional		$2,027.89	$2,643.91	$4,700.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,958.00 / $29,038.44	Facility		$55.00	$23,958.00	$29,038.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,599.08 / $14,868.96 / $18,873.08	Professional		$14,599.08	$14,868.96	$18,873.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,054.28 / $2,580.60 / $3,614.42	Facility		$2,054.28	$2,580.60	$3,614.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,888.48 / $2,621.21 / $5,749.35	Professional		$1,888.48	$2,621.21	$5,749.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,505.56 / $6,505.56 / $6,505.56	Professional		$6,505.56	$6,505.56	$6,505.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $962.77 / $1,699.78 / $2,488.82	Professional		$962.77	$1,699.78	$2,488.82
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 $1,690.65 / $2,359.19 / $7,047.61	Professional		$1,690.65	$2,359.19	$7,047.61