Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,845.53 / $10,051.00 / $20,509.00	Facility		$1,845.53	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.09 / $1,802.63 / $8,028.11	Professional		$1,635.09	$1,802.63	$8,028.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,723.00 / $22,417.00	Facility		$3,738.00	$11,723.00	$22,417.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,885.17 / $3,819.76 / $6,670.90	Professional		$2,885.17	$3,819.76	$6,670.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $1,694.68	Facility		$63.50	$100.00	$1,694.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,294.11 / $1,926.12 / $4,182.56	Professional		$1,294.11	$1,926.12	$4,182.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,714.54 / $2,262.66 / $5,722.95	Professional		$1,714.54	$2,262.66	$5,722.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.90 / $1,607.22 / $2,065.57	Professional		$1,588.90	$1,607.22	$2,065.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,430.01 / $1,831.40 / $3,367.73	Professional		$1,430.01	$1,831.40	$3,367.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,839.20 / $28,224.16	Facility		$55.00	$22,839.20	$28,224.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,828.08 / $11,095.28 / $13,128.75	Professional		$10,828.08	$11,095.28	$13,128.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,511.19 / $1,870.04 / $2,639.11	Facility		$1,511.19	$1,870.04	$2,639.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,714.54 / $2,264.32 / $5,198.30	Professional		$1,714.54	$2,264.32	$5,198.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,981.30 / $4,981.30 / $4,981.30	Professional		$4,981.30	$4,981.30	$4,981.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,439.99 / $1,759.99 / $2,732.27	Professional		$1,439.99	$1,759.99	$2,732.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,325.89 / $2,082.71 / $4,482.80	Professional		$1,325.89	$2,082.71	$4,482.80