Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,889.27 / $10,061.00 / $21,960.90	Facility		$1,889.27	$10,061.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,643.50 / $1,800.57 / $9,904.12	Professional		$1,643.50	$1,800.57	$9,904.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $11,216.00 / $21,514.00	Facility		$3,537.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,909.24 / $2,595.08 / $5,349.51	Professional		$1,909.24	$2,595.08	$5,349.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,396.92 / $2,180.65 / $5,283.95	Professional		$1,396.92	$2,180.65	$5,283.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,823.69 / $2,448.90 / $6,966.33	Professional		$1,823.69	$2,448.90	$6,966.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.86 / $2,143.07 / $2,571.67	Professional		$1,587.86	$2,143.07	$2,571.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,893.67 / $2,458.79 / $4,327.47	Professional		$1,893.67	$2,458.79	$4,327.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,777.64 / $26,465.28	Facility		$55.00	$20,777.64	$26,465.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $15,758.03	Professional		$14,283.70	$14,283.70	$15,758.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,935.28 / $2,551.78 / $3,577.01	Facility		$1,935.28	$2,551.78	$3,577.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.82 / $2,476.14 / $5,428.25	Professional		$1,819.82	$2,476.14	$5,428.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,145.32 / $6,145.32 / $6,145.32	Professional		$6,145.32	$6,145.32	$6,145.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,587.86 / $2,379.14 / $3,003.63	Professional		$1,587.86	$2,379.14	$3,003.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.79 / $2,168.00 / $6,351.76	Professional		$1,554.79	$2,168.00	$6,351.76