Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,396.31 / $10,061.00 / $20,509.00	Facility		$2,396.31	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,964.45 / $2,396.31 / $12,763.90	Professional		$1,964.45	$2,396.31	$12,763.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.42 / $3,694.04 / $7,102.42	Professional		$2,818.42	$3,694.04	$7,102.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,559.53 / $2,450.21 / $5,951.58	Professional		$1,559.53	$2,450.21	$5,951.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,285.30 / $3,129.27 / $8,642.95	Professional		$2,285.30	$3,129.27	$8,642.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,169.65 / $3,340.62	Professional		$1,433.73	$2,169.65	$3,340.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,426.46 / $3,154.41 / $5,571.90	Professional		$2,426.46	$3,154.41	$5,571.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,262.70 / $30,912.53	Facility		$55.00	$24,262.70	$30,912.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,313.28 / $17,816.08 / $20,117.78	Professional		$17,313.28	$17,816.08	$20,117.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,458.38 / $3,071.38 / $4,290.00	Facility		$2,458.38	$3,071.38	$4,290.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,285.30 / $3,175.30 / $6,763.32	Professional		$2,285.30	$3,175.30	$6,763.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,919.77 / $7,919.77 / $7,919.77	Professional		$7,919.77	$7,919.77	$7,919.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,437.34 / $3,091.18	Professional		$1,433.73	$2,437.34	$3,091.18
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 $1,944.89 / $2,805.07 / $9,722.71	Professional		$1,944.89	$2,805.07	$9,722.71