Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,871.84 / $10,051.00 / $20,509.00	Facility		$1,871.84	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.12 / $1,993.39 / $9,531.27	Professional		$1,697.12	$1,993.39	$9,531.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $12,001.00 / $23,933.00	Facility		$3,738.00	$12,001.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,456.17 / $3,295.36 / $6,317.22	Professional		$2,456.17	$3,295.36	$6,317.22
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 $1,325.70 / $2,037.28 / $4,539.47	Professional		$1,325.70	$2,037.28	$4,539.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,833.28 / $2,288.61 / $5,634.25	Professional		$1,833.28	$2,288.61	$5,634.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,724.87 / $1,918.77 / $2,587.31	Professional		$1,724.87	$1,918.77	$2,587.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,725.48 / $2,199.01 / $4,047.95	Professional		$1,725.48	$2,199.01	$4,047.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $35,752.71 / $44,214.45	Facility		$55.00	$35,752.71	$44,214.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,387.00 / $17,387.00 / $17,387.00	Professional		$17,387.00	$17,387.00	$17,387.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,832.51 / $2,459.90 / $3,750.00	Facility		$1,832.51	$2,459.90	$3,750.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,822.15 / $2,288.26 / $5,204.96	Professional		$1,822.15	$2,288.26	$5,204.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,913.99 / $5,913.99 / $5,913.99	Professional		$5,913.99	$5,913.99	$5,913.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,724.87 / $2,175.19 / $3,262.79	Professional		$1,724.87	$2,175.19	$3,262.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,570.07 / $2,216.44 / $5,001.29	Professional		$1,570.07	$2,216.44	$5,001.29