Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.08 / $10,051.00 / $20,509.00	Facility		$1,938.08	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,762.62 / $1,938.08 / $9,934.04	Professional		$1,762.62	$1,938.08	$9,934.04
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 $2,578.40 / $3,579.52 / $6,592.02	Professional		$2,578.40	$3,579.52	$6,592.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,465.02 / $2,247.65 / $4,921.45	Professional		$1,465.02	$2,247.65	$4,921.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,897.50 / $2,385.34 / $5,638.31	Professional		$1,897.50	$2,385.34	$5,638.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,663.44 / $1,986.45 / $2,582.39	Professional		$1,663.44	$1,986.45	$2,582.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,787.81 / $2,286.89 / $4,204.18	Professional		$1,787.81	$2,286.89	$4,204.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,336.16 / $57,231.98	Facility		$55.00	$46,336.16	$57,231.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,631.00 / $24,631.00 / $24,631.00	Professional		$24,631.00	$24,631.00	$24,631.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.74 / $2,561.62 / $4,079.62	Facility		$1,905.74	$2,561.62	$4,079.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.74 / $2,376.57 / $5,420.30	Professional		$1,905.74	$2,376.57	$5,420.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,163.91 / $6,163.91 / $6,163.91	Professional		$6,163.91	$6,163.91	$6,163.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,663.44 / $2,200.11 / $3,146.59	Professional		$1,663.44	$2,200.11	$3,146.59
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 $1,638.80 / $2,310.19 / $5,211.56	Professional		$1,638.80	$2,310.19	$5,211.56