Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.92 / $10,061.00 / $20,509.00	Facility		$1,941.92	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,646.27 / $1,853.18 / $10,685.60	Professional		$1,646.27	$1,853.18	$10,685.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,059.00 / $24,104.86	Facility		$4,437.00	$11,059.00	$24,104.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,183.38 / $3,041.28 / $5,784.98	Professional		$2,183.38	$3,041.28	$5,784.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $10,063.87	Facility		$64.20	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,351.70 / $2,063.05 / $5,112.89	Professional		$1,351.70	$2,063.05	$5,112.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,948.87 / $2,585.98 / $7,239.24	Professional		$1,948.87	$2,585.98	$7,239.24
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.87 / $2,271.28 / $2,725.54	Professional		$1,724.87	$2,271.28	$2,725.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,029.48 / $2,611.96 / $4,615.07	Professional		$2,029.48	$2,611.96	$4,615.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $11,198.28 / $14,021.64	Facility		$5,897.00	$11,198.28	$14,021.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,823.26 / $25,823.26 / $25,823.26	Professional		$25,823.26	$25,823.26	$25,823.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,059.41 / $2,638.04 / $4,014.66	Facility		$2,059.41	$2,638.04	$4,014.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,979.23 / $2,599.30 / $5,745.80	Professional		$1,979.23	$2,599.30	$5,745.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,630.22 / $6,630.22 / $6,630.22	Professional		$6,630.22	$6,630.22	$6,630.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,724.87 / $2,520.16 / $3,262.79	Professional		$1,724.87	$2,520.16	$3,262.79
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 $1,652.29 / $2,419.41 / $7,207.16	Professional		$1,652.29	$2,419.41	$7,207.16