Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,146.96 / $10,061.00 / $20,509.00	Facility		$2,146.96	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,952.26 / $2,310.80 / $10,936.50	Professional		$1,952.26	$2,310.80	$10,936.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,831.00 / $3,795.46 / $7,245.84	Professional		$2,831.00	$3,795.46	$7,245.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,393.26	Facility		$63.50	$100.00	$8,393.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,364.14 / $2,098.44 / $4,675.74	Professional		$1,364.14	$2,098.44	$4,675.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.44 / $2,626.05 / $6,385.32	Professional		$2,095.44	$2,626.05	$6,385.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,561.80 / $1,969.55 / $2,837.67	Professional		$1,561.80	$1,969.55	$2,837.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,964.54 / $2,515.34 / $4,623.37	Professional		$1,964.54	$2,515.34	$4,623.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $41,209.76 / $50,894.76	Facility		$55.00	$41,209.76	$50,894.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,881.00 / $20,881.00 / $20,881.00	Professional		$20,881.00	$20,881.00	$20,881.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,084.75 / $2,791.73 / $3,812.82	Facility		$2,084.75	$2,791.73	$3,812.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,076.51 / $2,602.17 / $5,926.29	Professional		$2,076.51	$2,602.17	$5,926.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,785.91 / $6,785.91 / $6,785.91	Professional		$6,785.91	$6,785.91	$6,785.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,561.80 / $2,186.52 / $2,954.33	Professional		$1,561.80	$2,186.52	$2,954.33
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 $1,787.59 / $2,551.84 / $6,109.92	Professional		$1,787.59	$2,551.84	$6,109.92