Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,894.39 / $10,061.00 / $20,509.00	Facility		$1,894.39	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,632.62 / $1,963.28 / $10,420.00	Professional		$1,632.62	$1,963.28	$10,420.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,697.00 / $22,145.00	Facility		$3,612.00	$11,697.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,492.11 / $3,449.62 / $6,309.63	Professional		$2,492.11	$3,449.62	$6,309.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,490.86 / $2,296.83 / $5,602.65	Professional		$1,490.86	$2,296.83	$5,602.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,035.83 / $2,607.81 / $7,716.92	Professional		$2,035.83	$2,607.81	$7,716.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,709.23 / $2,103.91 / $2,586.56	Professional		$1,709.23	$2,103.91	$2,586.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,924.28 / $2,513.73 / $4,424.18	Professional		$1,924.28	$2,513.73	$4,424.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,962.08 / $37,048.16	Facility		$55.00	$29,962.08	$37,048.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,586.62 / $17,586.62 / $17,586.62	Professional		$17,586.62	$17,586.62	$17,586.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,985.89 / $2,513.73 / $3,516.25	Facility		$1,985.89	$2,513.73	$3,516.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,025.22 / $2,632.78 / $5,740.59	Professional		$2,025.22	$2,632.78	$5,740.59
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,465.39 / $6,465.39 / $6,465.39	Professional		$6,465.39	$6,465.39	$6,465.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,709.23 / $2,330.50 / $3,233.21	Professional		$1,709.23	$2,330.50	$3,233.21
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 $1,656.49 / $2,337.94 / $7,225.47	Professional		$1,656.49	$2,337.94	$7,225.47