Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.33 / $10,061.00 / $20,509.00	Facility		$2,021.33	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,848.41 / $2,021.33 / $10,489.50	Professional		$1,848.41	$2,021.33	$10,489.50
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 $2,673.74 / $3,542.25 / $6,890.67	Professional		$2,673.74	$3,542.25	$6,890.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $10,373.42	Facility		$63.50	$100.00	$10,373.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,181.96 / $1,806.89 / $4,222.14	Professional		$1,181.96	$1,806.89	$4,222.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,934.93 / $2,450.96 / $6,118.63	Professional		$1,934.93	$2,450.96	$6,118.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.45 / $1,704.29 / $2,556.44	Professional		$1,351.45	$1,704.29	$2,556.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,867.10 / $2,398.31 / $4,405.76	Professional		$1,867.10	$2,398.31	$4,405.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $39,437.16 / $48,697.53	Facility		$55.00	$39,437.16	$48,697.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,369.00 / $20,369.00 / $20,369.00	Professional		$20,369.00	$20,369.00	$20,369.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,971.01 / $2,542.50 / $3,835.95	Facility		$1,971.01	$2,542.50	$3,835.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,897.29 / $2,438.01 / $5,657.49	Professional		$1,897.29	$2,438.01	$5,657.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,508.56 / $6,508.56 / $6,508.56	Professional		$6,508.56	$6,508.56	$6,508.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,351.45 / $1,938.40 / $2,556.42	Professional		$1,351.45	$1,938.40	$2,556.42
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 $1,674.41 / $2,399.52 / $5,160.80	Professional		$1,674.41	$2,399.52	$5,160.80