Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.39 / $10,061.00 / $20,509.00	Facility		$2,010.39	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.54 / $2,010.39 / $10,590.70	Professional		$1,661.54	$2,010.39	$10,590.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,518.00 / $8,869.27 / $20,248.00	Facility		$3,518.00	$8,869.27	$20,248.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,393.84 / $3,113.23 / $6,032.48	Professional		$2,393.84	$3,113.23	$6,032.48
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 $1,225.54 / $1,922.24 / $4,712.67	Professional		$1,225.54	$1,922.24	$4,712.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.54 / $2,542.59 / $7,287.20	Professional		$1,891.54	$2,542.59	$7,287.20
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,531.32 / $2,756.71	Professional		$1,011.91	$1,531.32	$2,756.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,024.14 / $2,630.81 / $4,630.22	Professional		$2,024.14	$2,630.81	$4,630.22
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,788.32 / $18,816.16	Facility		$55.00	$14,788.32	$18,816.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,504.56 / $14,927.92 / $16,832.09	Professional		$14,504.56	$14,927.92	$16,832.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,978.79 / $2,547.21 / $3,472.67	Facility		$1,978.79	$2,547.21	$3,472.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,891.54 / $2,614.83 / $5,636.75	Professional		$1,891.54	$2,614.83	$5,636.75
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,571.34 / $6,571.34 / $6,571.34	Professional		$6,571.34	$6,571.34	$6,571.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,011.91 / $1,786.54 / $2,550.42	Professional		$1,011.91	$1,786.54	$2,550.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,613.52 / $2,315.60 / $6,796.79	Professional		$1,613.52	$2,315.60	$6,796.79