Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,366.59 / $10,061.00 / $20,509.00	Facility		$2,366.59	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,162.09 / $2,572.55 / $12,237.50	Professional		$2,162.09	$2,572.55	$12,237.50
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 $2,769.00 / $4,139.85 / $8,103.87	Professional		$2,769.00	$4,139.85	$8,103.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,344.10	Facility		$63.50	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,068.44 / $1,643.39 / $3,908.38	Professional		$1,068.44	$1,643.39	$3,908.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,151.77 / $2,865.04 / $7,264.30	Professional		$2,151.77	$2,865.04	$7,264.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,347.50 / $3,162.78	Professional		$1,861.50	$2,347.50	$3,162.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,189.62 / $2,831.86 / $4,750.00	Professional		$2,189.62	$2,831.86	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,782.10 / $56,602.98	Facility		$55.00	$45,782.10	$56,602.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,209.83 / $18,938.22 / $20,043.83	Professional		$18,209.83	$18,938.22	$20,043.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,203.44 / $2,820.08 / $3,905.87	Facility		$2,203.44	$2,820.08	$3,905.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,119.05 / $2,843.95 / $6,594.49	Professional		$2,119.05	$2,843.95	$6,594.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,593.12 / $7,593.12 / $7,593.12	Professional		$7,593.12	$7,593.12	$7,593.12
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,606.10 / $3,521.25	Professional		$1,861.50	$2,606.10	$3,521.25
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 $1,951.32 / $2,839.11 / $6,692.33	Professional		$1,951.32	$2,839.11	$6,692.33