Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,125.63 / $10,061.00 / $20,509.00	Facility		$2,125.63	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,930.15 / $2,125.63 / $11,022.70	Professional		$1,930.15	$2,125.63	$11,022.70
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 $2,814.08 / $3,957.89 / $7,306.45	Professional		$2,814.08	$3,957.89	$7,306.45
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 $1,630.22 / $2,507.63 / $5,490.71	Professional		$1,630.22	$2,507.63	$5,490.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,134.98 / $2,646.75 / $6,430.75	Professional		$2,134.98	$2,646.75	$6,430.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.19 / $2,162.98 / $2,880.46	Professional		$1,715.19	$2,162.98	$2,880.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,994.17 / $2,546.10 / $4,756.01	Professional		$1,994.17	$2,546.10	$4,756.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $51,476.88 / $63,618.88	Facility		$55.00	$51,476.88	$63,618.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,290.00 / $27,293.42 / $27,293.42	Professional		$24,290.00	$27,293.42	$27,293.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,121.75 / $2,816.28 / $4,495.74	Facility		$2,121.75	$2,816.28	$4,495.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,134.98 / $2,634.72 / $6,062.48	Professional		$2,134.98	$2,634.72	$6,062.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,839.38 / $6,839.38 / $6,839.38	Professional		$6,839.38	$6,839.38	$6,839.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,715.19 / $2,401.26 / $3,244.48	Professional		$1,715.19	$2,401.26	$3,244.48
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 $1,754.20 / $2,499.12 / $5,420.38	Professional		$1,754.20	$2,499.12	$5,420.38