Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.35 / $10,061.00 / $20,509.00	Facility		$1,993.35	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,804.13 / $1,993.35 / $10,178.00	Professional		$1,804.13	$1,993.35	$10,178.00
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 $2,641.39 / $3,607.67 / $6,747.74	Professional		$2,641.39	$3,607.67	$6,747.74
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 $1,434.55 / $2,199.35 / $4,900.59	Professional		$1,434.55	$2,199.35	$4,900.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,985.25 / $2,432.54 / $5,993.26	Professional		$1,985.25	$2,432.54	$5,993.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.21 / $2,050.78 / $2,666.13	Professional		$1,626.21	$2,050.78	$2,666.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,845.67 / $2,354.60 / $4,330.72	Professional		$1,845.67	$2,354.60	$4,330.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $47,559.98 / $58,762.08	Facility		$55.00	$47,559.98	$58,762.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,779.00 / $23,779.00 / $23,779.00	Professional		$23,779.00	$23,779.00	$23,779.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,962.17 / $2,618.09 / $3,948.55	Facility		$1,962.17	$2,618.09	$3,948.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,985.25 / $2,423.50 / $5,502.69	Professional		$1,985.25	$2,423.50	$5,502.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,315.25 / $6,315.25 / $6,315.25	Professional		$6,315.25	$6,315.25	$6,315.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,626.21 / $2,271.67 / $3,076.16	Professional		$1,626.21	$2,271.67	$3,076.16
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 $1,676.50 / $2,355.19 / $5,573.84	Professional		$1,676.50	$2,355.19	$5,573.84