Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,963.12 / $10,061.00 / $20,509.00	Facility		$1,963.12	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.72 / $1,963.12 / $10,196.90	Professional		$1,782.72	$1,963.12	$10,196.90
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 $2,611.16 / $3,711.07 / $6,802.12	Professional		$2,611.16	$3,711.07	$6,802.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,541.81 / $2,371.28 / $5,121.43	Professional		$1,541.81	$2,371.28	$5,121.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.10 / $2,448.44 / $5,954.34	Professional		$1,980.10	$2,448.44	$5,954.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,709.60 / $2,038.09 / $2,649.52	Professional		$1,709.60	$2,038.09	$2,649.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,834.28 / $2,347.01 / $4,314.47	Professional		$1,834.28	$2,347.01	$4,314.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $47,570.38 / $58,762.60	Facility		$55.00	$47,570.38	$58,762.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,205.00 / $25,948.28 / $25,948.28	Professional		$24,205.00	$25,948.28	$25,948.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,955.84 / $2,639.64 / $4,203.87	Facility		$1,955.84	$2,639.64	$4,203.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,980.10 / $2,448.44 / $5,648.43	Professional		$1,980.10	$2,448.44	$5,648.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,326.99 / $6,326.99 / $6,326.99	Professional		$6,326.99	$6,326.99	$6,326.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,709.60 / $2,257.28 / $3,233.92	Professional		$1,709.60	$2,257.28	$3,233.92
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 $1,682.30 / $2,362.13 / $5,184.72	Professional		$1,682.30	$2,362.13	$5,184.72