Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,179.62 / $10,061.00 / $20,509.00	Facility		$2,179.62	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.35 / $2,267.19 / $12,177.70	Professional		$1,885.35	$2,267.19	$12,177.70
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 $2,823.99 / $3,564.26 / $7,116.46	Professional		$2,823.99	$3,564.26	$7,116.46
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 $1,206.49 / $1,869.00 / $4,668.14	Professional		$1,206.49	$1,869.00	$4,668.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,230.78 / $2,924.09 / $8,524.56	Professional		$2,230.78	$2,924.09	$8,524.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $889.80 / $1,346.53 / $2,944.62	Professional		$889.80	$1,346.53	$2,944.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,247.59 / $2,935.09 / $5,165.75	Professional		$2,247.59	$2,935.09	$5,165.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $35,029.76 / $43,285.44	Facility		$55.00	$35,029.76	$43,285.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,548.64 / $16,968.24 / $20,198.93	Professional		$16,548.64	$16,968.24	$20,198.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,208.71 / $2,817.68 / $3,926.16	Facility		$2,208.71	$2,817.68	$3,926.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,208.71 / $2,935.42 / $6,585.19	Professional		$2,208.71	$2,935.42	$6,585.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,556.04 / $7,556.04 / $7,556.04	Professional		$7,556.04	$7,556.04	$7,556.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $889.80 / $1,570.95 / $2,718.02	Professional		$889.80	$1,570.95	$2,718.02
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 $1,919.57 / $2,699.54 / $7,359.00	Professional		$1,919.57	$2,699.54	$7,359.00