Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,663.95 / $9,749.69 / $20,509.00	Facility		$1,663.95	$9,749.69	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,430.67 / $1,573.72 / $8,564.70	Professional		$1,430.67	$1,573.72	$8,564.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,108.00 / $10,234.59 / $21,555.87	Facility		$4,108.00	$10,234.59	$21,555.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,653.04 / $2,246.84 / $4,639.03	Professional		$1,653.04	$2,246.84	$4,639.03
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 $1,202.04 / $1,890.06 / $4,546.80	Professional		$1,202.04	$1,890.06	$4,546.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,582.29 / $2,130.23 / $6,080.15	Professional		$1,582.29	$2,130.23	$6,080.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.77 / $1,884.79 / $2,261.75	Professional		$1,255.77	$1,884.79	$2,261.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,644.73 / $2,138.15 / $3,775.18	Professional		$1,644.73	$2,138.15	$3,775.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,470.95 / $13,378.33	Facility		$55.00	$10,470.95	$13,378.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,739.36 / $12,116.64 / $13,642.20	Professional		$11,739.36	$12,116.64	$13,642.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,667.82 / $2,114.64 / $2,876.03	Facility		$1,667.82	$2,114.64	$2,876.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,579.60 / $2,158.66 / $4,730.30	Professional		$1,579.60	$2,158.66	$4,730.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,314.25 / $5,314.25 / $5,314.25	Professional		$5,314.25	$5,314.25	$5,314.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.77 / $1,883.65 / $2,375.44	Professional		$1,255.77	$1,883.65	$2,375.44
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 $1,346.86 / $1,974.80 / $5,697.57	Professional		$1,346.86	$1,974.80	$5,697.57