Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,139.10 / $10,061.00 / $20,509.00	Facility		$2,139.10	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,855.30 / $2,231.06 / $11,972.60	Professional		$1,855.30	$2,231.06	$11,972.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,360.00 / $23,933.00	Facility		$3,738.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,788.21 / $3,519.10 / $7,026.29	Professional		$2,788.21	$3,519.10	$7,026.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,368.96 / $2,130.77 / $5,244.85	Professional		$1,368.96	$2,130.77	$5,244.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,171.38 / $2,888.63 / $8,400.37	Professional		$2,171.38	$2,888.63	$8,400.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $830.97 / $1,257.50 / $2,857.56	Professional		$830.97	$1,257.50	$2,857.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,190.86 / $2,857.56 / $5,030.01	Professional		$2,190.86	$2,857.56	$5,030.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $40,663.04 / $50,221.75	Facility		$55.00	$40,663.04	$50,221.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,162.16 / $16,579.20 / $19,740.98	Professional		$16,162.16	$16,579.20	$19,740.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,101.73 / $2,743.64 / $3,810.08	Facility		$2,101.73	$2,743.64	$3,810.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,152.06 / $2,874.83 / $6,437.55	Professional		$2,152.06	$2,874.83	$6,437.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,428.79 / $7,428.79 / $7,428.79	Professional		$7,428.79	$7,428.79	$7,428.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $830.97 / $1,467.09 / $2,637.34	Professional		$830.97	$1,467.09	$2,637.34
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 $1,883.37 / $2,723.59 / $7,131.94	Professional		$1,883.37	$2,723.59	$7,131.94