Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,715.75 / $10,061.00 / $20,509.00	Facility		$2,715.75	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,456.88 / $2,715.75 / $13,966.00	Professional		$2,456.88	$2,715.75	$13,966.00
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 $3,484.20 / $4,758.81 / $9,145.15	Professional		$3,484.20	$4,758.81	$9,145.15
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 $2,014.03 / $3,096.62 / $6,842.95	Professional		$2,014.03	$3,096.62	$6,842.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,649.88 / $3,312.64 / $7,866.57	Professional		$2,649.88	$3,312.64	$7,866.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,886.44 / $2,378.96 / $3,568.44	Professional		$1,886.44	$2,378.96	$3,568.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,540.69 / $3,242.42 / $5,944.44	Professional		$2,540.69	$3,242.42	$5,944.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $65,350.22 / $80,837.12	Facility		$55.00	$65,350.22	$80,837.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,188.00 / $28,429.64 / $28,429.64	Professional		$27,188.00	$28,429.64	$28,429.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,702.02 / $3,548.86 / $5,065.50	Facility		$2,702.02	$3,548.86	$5,065.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,702.02 / $3,312.64 / $7,604.48	Professional		$2,702.02	$3,312.64	$7,604.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,665.62 / $8,665.62 / $8,665.62	Professional		$8,665.62	$8,665.62	$8,665.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,886.44 / $2,641.02 / $3,568.43	Professional		$1,886.44	$2,641.02	$3,568.43
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 $2,299.13 / $3,232.71 / $7,810.01	Professional		$2,299.13	$3,232.71	$7,810.01